I consent to receive communications from Roche and its local agent in Kuwait - Ali Abdulwahab Al Mutawa Commercial Co. and its affiliates regarding (1) Roche’s products and services; (2) Roche sponsored programs, events and initiatives; (3) customer feedback and (4) medical and educational information through email, SMS, calls, direct mail and other Roche communication channels.

 

  I hereby, acknowledge that I have voluntarily disclosed my personal data such as, but not limited to my name, email address, contact number etc. to Roche and its local agent in Qatar Ebn Sina Medical (Local agent for Hoffmann-La Roche Ltd in Qatar)

  I understand and agree that my personal information will be collected, stored and used in accordance with Roche Privacy Policy for the below purposes.

  I acknowledge that Roche will take appropriate precautions to protect my personal information and will comply with local legislation governing data recording and usage.

  I confirm that I have read and understood the above provisions and conditions in their entirety.