Multiplier Bonus Lucky Draw!
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Last Name (family name) *
Mobile No. *
Email Address *
Organisation *
Principal Investigator *
By submitting this form, you agree that Axil Scientific Pte Ltd may collect, use and disclose your personal data, as provided in this entry form, for the following purposes in accordance with the Personal Data Protection Act 2012 and our data protection policy: (a) To administer this form, including to contact you for the administration of prizes in relation to this quiz. (b) Announce your first name, masked last name and mobile number on our official website and/or Facebook page if you are a prize winner. Please visit our website at https://axilscientific.com/downloads/promotions/Data-Protection-Notice.pdf for further details on our data protection policy, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data. *
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