Withdrawal of Consent
Elitez Group of Companies 
ANNEX W: Withdrawal of Consent Form

Under the Personal Data Protection Act 2012 (“PDPA”), you are entitled to withdraw your consent for the collection, use or disclosure of your personal data by us.
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Full name (as in NRIC) *
NRIC number (last 3 digits and letter e.g. 123A) *
Contact number *
Email address *
I withdraw my consent to the collection, use and disclosure of my personal data by the Elitez Group of Companies (“EGC”)  as follows:
1. To receive EGC's newsletter
2. Information about EGC’s products and services, including updates on the latest promotions and new products and services, via the following channels:
3. Information sent by EGC on third parties’ products and services, such as updates on their latest promotions and their new products and services, via the following channels:
4. The use of my contact details by third parties** to send me information on their products and services, via the following channels:
**Third parties that EGC has disclosed your personal data to for this purpose will be informed of your withdrawal of consent and your personal data will no longer be disclosed to any third parties by the effective date of your withdrawal.
5. The use of my contact details by EGC to inform me of potential job opportunities, via the following channels:
 *
Required
6. The collection of my personal data via:
7. Any other requests or comments 
Please specify
Please visit our website at www.elitez.asia for further details on our Personal Data Protection Notice, including any consequences arising from your withdrawal of consent and the period within which your withdrawal of consent will take effect.
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