Author: Dominik_Krus
Last saved by: Daria Kolaczek
Company: Wolters Kluwer Polska Sp z o.o.
Document comments: ZNAKI:1980

„Basic” data processing
Do you consent to the processing of your personal data listed below by Loyalty Partner Polska Sp. z o.o., with headquarters in Warsaw at ul. Towarowa 28, 00-839 Warszawa, in order to facilitate contact from TFI Allianz.
1.	Actual Address: [……………………………………………..…………………………………………]
	 YES	 NO
2.	Address to correspondence: [……………………………………………..…………………………………………]
	 YES	 NO
3.	Phone number: [……………………………………………………………………….]
	 YES	 NO
4.	 E-mail: [………………………………………………………….]
 YES	 NO
	
………………….					………………………………
	(date)							(employees signature)

Information on the right to withdraw consent
You have the right to withdraw your consent to the processing of your personal data at any time. Withdrawal of consent will not affect the lawfulness of the processing which was carried out on the basis of your consent before its withdrawal.

LP-Internal