Consent to data processing

Consent of the parent (legal representative) to the processing of the child's personal data

I, ______________________________________________

(Full name of parent)

Residing at: ___________________________

passport No. ________ issued by whom, date of issue: ______________

I agree to the processing of my child's personal data

________________________________________________

(Full name of the child, date of birth)

which include:

• data of the birth certificate;

• medical record data;

• address of residence, contact phones, e-mail;

• passport details of parents, position and place of work of parents.

I consent to the use of my child's personal data for the following purposes:

• ensuring the educational process;

• medical care;

• keeping statistics.

This consent is granted for the implementation of any actions in relation to the personal data of my child that are necessary or desirable to achieve the above goals, including (without limitation) collection, systematization, accumulation, storage, clarification (updating, modification), use, distribution (including including transfer to third parties - medical institutions, police departments, etc.), depersonalization, blocking, cross-border transfer of personal data, as well as the implementation of any other actions with my personal data provided for by applicable law.

The administration guarantees that the processing of personal data is carried out in accordance with applicable law.

I have been informed that the administration will process personal data in both a manual and automated way of processing.

This Consent is valid until the goals of processing the child's personal data are achieved.

I am aware that this Consent can be revoked upon my written statement.

I acknowledge that by giving such Consent, I am acting of my own free will and in the best interests of my child.

______________ __________________

(Date) (Signature, transcript)