PERSONAL DATA PROTECTION ACT CONSENT FORM

PERSONAL DATA PROTECTION ACT CONSENT FORM 1. In compliance with the Personal Data Protection Act (“PDPA”), The Singapore Association of The...

106 downloads 927 Views 251KB Size
PERSONAL DATA PROTECTION ACT CONSENT FORM 1.

In compliance with the Personal Data Protection Act (“PDPA”), The Singapore Association of The Institute of Chartered Secretaries and Administrators (“SAICSA”) seeks your consent to collect and use your personal data (i.e. Name, NRIC, contact numbers, mailing and email addresses) in order to maintain the SAICSA registry of students and to disclose such personal data to SAICSA’s affiliated organisations where necessary (“Purposes”).

2.

SAICSA will also collect and use your personal data to provide you with information on studentship, examination and activities such as upcoming events, seminars, workshops, conferences and training programmes organised by SAICSA and its affiliated organisations which may be relevant to you (“Services”).

3.

SAICSA respects your privacy and assures that your personal data will be kept securely according to PDPA.

4.

I hereby give my acknowledgement and consent to SAICSA to use my personal data for the aforesaid Purposes and Services. In the event that I have registered my Singapore telephone numbers(s) with the Do Not Call Registry and wish to withhold or withdraw my consent to SAICSA in respect of receiving telephone calls and/or SMS, I endeavour to provide sufficient notice to SAICSA of such as soon as reasonably practicable. I further agree to indemnify SAICSA against any financial penalties imposed by the Personal Data Protection Commission or any court of law in Singapore as a direct or indirect result of my failure to inform SAICSA of my registration with the Do Not Call Registry.

5.

I agree that my consent will remain in place until my withdrawal by officially notifying SAICSA in writing at [email protected].

Name

:

___________________________ (Full Name as in NRIC)

NRIC No. / FIN.No.

:

___________________________

Contact No.

:

___________________________

Email

:

___________________________

Signature

:

___________________________

Date

:

___________________________

EDCA