The document is a sign-up sheet for participants at a CME event, detailing their consent for Bayer Philippines Inc. to collect and process their personal data for promotional purposes over a ten-year period. Participants are informed about their rights regarding their personal data, including the right to amend it and withdraw consent. The document also includes the contact information for Bayer’s data privacy officer.

1. CME ATTENDANCE SHEET
Name of Participants Hospital Affiliation Signature
By signing this Sign Up Sheet, I hereby authorize Bayer Philippines Inc., its affiliates, subsidiaries, contracted third parties and their authorized employees (collectively as Bayer) to collect, retain, share and transfer
my personal data herein I voluntarily disclosed for its internal purposes including mainly the promotion and sale of its consumer health products and those which are necessary for Bayer to comply with its
contractual obligations for a period of ten (10) years. I am aware the Bayer will keep my Personal Data in its designated data base / data processors which may be located within or outside the Philippines and
authorize Bayer to retain and maintain control and responsibility for the use of my personal data. Finally, at the time of disclosing my personal data, I fully understand my rights as a data subject including the right
to amend and review accuracy of my personal data as well as the right to withdraw my consent herein freely given through proper notice directed to Bayer’s Data Privacy Officer, Atty. Nicanor Patricio, Jr. at
nicanor.patriciojr@bayer.com
Event Name :
Date :
Venue :