In accordance with the Personal Data Protection Act of 29 August 1997 (Journal of Laws 2016, item 922) and the Regulation of the European Parliament and of the Council (EU) 2016/679 of 27 April 2016 on natural persons in relation to the processing of personal data and on the free movement of such data and repealing Directive 95/46/EC. I consent to the processing of the personal data I have provided in the above form by (company name) in order to clarify the matter I have reported.

The personal data provided in the form will be processed in accordance with the requirements of the Act of 29 August 1997 on the protection of personal data (Journal of Laws of 2016, item 922), and the Act of 18 July 2002 on the provision of electronic services (Journal of Laws of 2017 , item 1219).

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The administrator of the personal data indicated in the form is P.P.H.U. AKWA J.Biskup, S.Owczarek Sp.j. with its registered office at ul. Ignacego Paderewskiego 21 in Zabrze.
The data collected will be stored until: the case is dealt with. Your personal data will not be transferred to a third country/international organisation.
You have the right of access to the content of your data and the right to rectification, erasure, restriction of processing, the right to data portability, the right to object, the right to withdraw consent at any time without affecting the lawfulness of the processing. You have the right to lodge a complaint with the GIODO if you consider that the processing of personal data concerning you violates the provisions of the General Data Protection Regulation of 27 April 2016.