I, the undersigned, am aware and consent to the fact that Poradna pro integraci, z.ú. (Counselling Centre for Integration), based at Opletalova 921/6, 110 00 Praha 1 - Nové Město, ID No.: 673 62 621, registered in the Register of Institutions lodged with the Municipal Court in Prague, Section U, File No. 139 (“PPI”), processes my personal data within the scope specified in this form, as well as other personal data that I provide to PPI, in order to enable it to provide quality services, to protect my important interests and also to enable PPI to comply with its obligations under the law and protect its legitimate interests and also protect an important public interest constituting the provision of integration services.
I grant this consent for the duration for which PPI provides me with social services or services under the project, and subsequently for a period of 10 years after the provision of such services ceases. I may revoke my consent to the processing of personal data free of charge at any time by writing to PPI. I am aware that revoking my consent could restrict or prevent PPI from providing me with social services or services under the project.
In the event of any change to my personal data provided to PPI, I undertake to inform PPI of such changes without undue delay to ensure that the personal data processed by PPI is up to date and accurate.
I declare that I have been duly informed of my right to access, correct or delete my personal data, or to restrict the processing of my personal data, my right to file an objection against the processing of my personal data, as well as my right to the portability of my personal data, and that I may exercise these rights with PPI as the processor of my personal data. I have also been informed of my right to file a complaint with the Office for Personal Data Protection. I have read the additional information about how such rights may be exercised, as well as other details relating to the processing of my personal data by PPI, in the Information about Clients’ Rights in Connection with the Processing of personal data, available at the PPI website.
If you are under 15, fill the contact details of the legal representative
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(e.g. permanent residence, asylum, etc.)
Contact phone number to Czech Republic
e.g. family members
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I also declare that I have been informed that the above information and rules are available in writing in an accessible place at the PPI premises. These rules are available in Czech, Russian, Vietnamese and English.
I declare that all the above information has been provided to me in a language that I understand, and that I have understood it.