I hereby confirm that I act freely, on my own will and in my interest, and give my consent to be processed by authorized employees of the X7 Clinical Research Limited Liability Company (OGRN 1127847624871, location: 197342, St. Petersburg, Engels Prospect etc. 27 Lt. T) (hereinafter referred to as the “Company”) of my personal data, which includes: last name, first name, patronymic, e-mail address, telephone number, and other personal data that I transmitted when preparing the appeal to the Company in electronic form, both in an automated and non-automated way.

I hereby consent to give the Company the right to carry out all actions (operations) with my Personal data, including the collection, recording, systematization, accumulation, storage, update, change, use, transfer (distribution, provision, access), including to persons engaged by the Company to provide services, as well as depersonalization, blocking, deletion, destruction. The Company has the right to process my Personal data by entering them into an electronic database, as well as using Personal data for possible further communication with me, providing the necessary information, concluding contracts, as well as for studying and researching opinions on the quality of services provided by the Company (performance of work).

I hereby consent to providing my personal data to the Company remotely, using electronic communication through the public Internet, and the Company to receive my personal data remotely, using electronic communications through the public Internet.

I agree to providing me with information and suggestions regarding my treatment by e-mail, phone calls, SMS-messages.

This consent is valid for 5 (five) years, unless another term follows from the agreements concluded between me and the Company or the current legislation of the Russian Federation.

I am aware of my right to withdraw my consent to the processing of Personal data by sending an application to the Company by e-mail.

I am aware that the Personal data will be transmitted through the public Internet (the Company does not guarantee the security of communication from unauthorized access by third parties), and therefore, the Company cannot be held responsible for unauthorized access to the personal data of third parties.