By submitting this application, I confirm that the above information is provided
by me voluntarily.
I hereby confirm the accuracy of the data.
I give the following informed consent for the processing of my personal data:
As a personal data subject-applicant, I resolve to submit my personal
data and give my consent for its processing freely, of my own
free will and volition, and in my own interest.
The name and address of the operator obtaining the personal data subject’s consent:
The Fund for
Development of the Center for Elaboration and Commercialization of New Technologies,
Non-Profit
Organization; Russian Federation, 143026, Moscow, the territory of the Skolkovo Innovation
Center, 5 Nobelya
Street
Processing of personal data for the following purposes: To allow admission
of the
personal data subject to the territory where the operator is located, in order to participate
in the Conference Startup Village 2017.
A list of personal data, for the processing of which the consent of the
personal data subject
is hereby given (presented herein or may be requested separately): last name;
first name;
patronymic, passport data and other information referred to in the present application.
The list of personal data processing operations for which consent is given; the general
description of the
methods used by the operator for personal data processing: processing of the
above-mentioned
personal data will be carried out by mixed processing of personal data (data
collection,
systematization, accumulation, storage, clarification — update, change of use,
distribution —
including transfer), depersonalization, blocking, destruction of personal data.
The period for which consent of the personal data subject is valid, and the method of its
withdrawal unless otherwise provided for by federal law is: 5 years.
On the basis of a written request by the personal data subject seeking the
cessation of processing
of his/her personal data, the operator shall cease processing of the subject’s
personal data
within three (3) working days, notifying the personal data subject thereof in writing within
ten (10)
working days. In accordance with the legislation of the Russian Federation, the consent
can be withdrawn
by the personal data subject by sending a written request to the operator who
obtained the
consent from the personal data subject.
I hereby agree that according to my written request the notice of destruction
of my personal
data will be presented to me (or to my representative) at the
location of the
operator’s separate subdivision.
