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First Name First Name

Last Name Last Name

Mobile Number Mobile Number (please use format 09XX – XXX – XXXX)

Email address Email address

Name of Workshop Name of Workshop

Designation Designation

Province Province

I grant permission to Shell Lubricants - Shell Philippines Corporation, and its contracted third-party the right to process my personal data. I understand and accept Shell’s Privacy Notice. Yes

For direct marketing: I would like to receive communications from Shell Lubricants - Shell Philippines Corporation, and carefully-selected companies providing services on Shell’s behalf. Yes

Comments

Shell’s Privacy Notice available at Privacy notices | Shell Philippines .

I am fully aware of my rights under the relevant privacy laws, which include the right to withdraw my consent, to rectify, erase and block my personal data voluntarily disclosed and/or submitted to Shell. I will immediately notify Shell through email to PSPC-LUBRICANTS-PHILIPPINES@SHELL.COM in the event that I exercise any of these rights.