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SHOP
Our Store
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our story
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EVENTS
Join The Team
Experiences
Consent Form
I/We, the undersigned,
Full names of natural person / full registered name of juristic person
(Required)
First
Last
Hereby give my/our consent for the processing (use) of my/our personal information by Paul’s Homemade Proprietary Limited trading as Paul’s Homemade Ice Cream, for the purposes of carrying out the following (TICK APPROPRIATE BOX):
Opening an account as a wholesaler and applying for credit
Applying for employment
Other
Please Specify if other
This consent specifically includes the right to obtain and utilise my/our personal information as requested and required for purposes of giving effect to the above. This consent is furnished on condition that my/our personal information shall be used and processed in accordance with the Protection of Personal Information Act.
SIGNED AT
Date
(Required)
Month
Day
Year
Signature (who warrants that he/she is duly authorised to sign this consent form)
English
English