Lietuva

Digital consent Form

to processing of my personal data for the purpose of centralized management of the visits, internal reporting and (or) direct marketing.

We hope that you will support the strengthening of our relationship, would like to receive business related information and (or) will allow us to process your personal data in the system and use it in the internal reports. For more information, please do not hesitate to contact your UAB Teva Baltics (hereinafter – Teva) contact.

Do you agree that we would process your personal data indicated in this Consent together with the information when our employees visited you in our CRM system? (If you agree fill in the information below)

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* Fill in only if ticked " I agree"

* Fill in only if ticked " I agree"

* Fill in only if ticked " I agree"

* Fill in only if ticked " I agree"

Do you agree to get from Teva a commercial information about Teva‘s products and/or other initiatives?

By email:

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* Fill in only if ticked " I agree"

By phone:

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* Fill in only if ticked " I agree"

By social network:

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Do you agree that Teva employee would indicate in his/her inside financial report for the company about the business meeting with You and indicate your personal data (name, last name and working place, meeting date and place, amount of expenses)?

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I am aware that I have a right to change my decision expressed in this Consent at any moment free of charge by informing TEVA. Contact details and more information about your data are provided in the Notice, which can be found here, or can be found in www.teva.lt.

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