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By submitting my personal information in this form (“my Data”) to Allianz Insurance Singapore Pte. Ltd. (“Allianz”), I give consent to Allianz, to collect, use and disclose my Data for the purposes of marketing Allianz’s products and services, in accordance with the Personal Data Protection Act 2012 and Allianz’s Privacy Policy as available at https://www.allianz.sg/Privacy-Policy.html. In addition, I agree that my Data may be disclosed to third parties, including intermediaries, representatives, agents and affiliates of Allianz or its service providers, for the abovementioned purposes. I understand that I may choose to withdraw such consent by emailing Allianz at customerservice@allianz.com.sg or call Allianz at 1800 222 1818 or +65 6222 1919. I further agree that the consent provided in this form shall be in addition to and shall not supersede any consent which I may have previously provided, unless such earlier consent was withdrawn in accordance with the above or with Allianz’s Privacy Policy. Privacy Policy

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