DECLARATION AND CONSENT TO THE PROCESSING OF PERSONAL DATA

The undersigned
Personal Identification Number
Tel. No.
E-mail
Adress/Residence

I declare that I have read and understood the content of the Information Note on the processing of personal data by the Individual Law Office Cosmin A. Popescu, I received copy of the Information Note and I express the free, specific, informed and lack of ambiguity consent for the following:
I declare that I have read and understood the content of the Information Note on the processing of personal data by the Individual Law Office Cosmin A. Popescu, I received copy of the Information Note and I express the free, specific, informed and lack of ambiguity consent for the following:

I agree that my personal data will be used by the Individual Law Office for the purposes listed in the Information Note, namely:

Personal Data	I agree	I disagree
My identity data
My contact data
The data contained in my requests and information addressed to the Individual Law Office and the data of third parties contained in the documents which I have provided to the Individual Law Office
My financial data

Name and Surname
Signature
Date
DECLARATION