DATA PRIVACY

I acknowledge that SGI Philippines General Insurance Company, Inc. (SGI) may collect, use, process and share my personal information to its employees, duly authorized representatives, other insurers, reinsurers, adjusters, investigators, and other third party providers for purposes such as underwriting, administration, claims adjudication and management, investment, data analytics, statistical analysis, risk analysis/assessment/management, financial and tax monitoring/review/reporting, protection against fraud, errors, or misrepresentations, profiling research, due diligence, company evaluation, studies/customer satisfaction surveys, and compliance with legal, regulatory or contractual requirements.

Further, I agree that SGI Philippines General Insurance Company, Inc. may notify and offer me any of its products and services that may be useful to me.

In furtherance of these purposes, my personal information, unless prohibited, may be processed outside the Philippines and be subject to different data protection standards.

AUTHORITY TO DISCLOSE

I hereby authorize SGI Philippines General Insurance Company, Inc. affiliates, subsidiaries, contractors, partners, agents and representatives, intermediaries, industry associations, and other third parties access to my personal information, including this form, for purposes of marketing, sales or promotional information campaigns, and provision of any products, services, or offers through mail/email/SMS/telephone, or any type of electronic facility.

AUTHORITY TO VERIFY INFORMATION

I also authorize SGI Philippines General Insurance Company, Inc. to verify and investigate the information given by me, including submitted documents from whatever source it may consider appropriate RIGHTS OF THE DATA SUBJECT I acknowledge that I have the right to access the given information and I undertake to correct, rectify or supplement the same should any information be found to be inaccurate or incomplete. I shall notify SGI Philippines General Insurance Company, Inc. in writing of any changes in the information given above. UNDERTAKING I hereby warrant that all personal information given by me are true, correct, updated to the best of my knowledge, and freely and voluntarily given to SGI Philippines General Insurance Company, Inc. I agree and consent that the above information are being collected, used, processed and recorded for purposes of securing insurance protection or any other business transaction(s) with SGI Philippines General Insurance Company, Inc. and for other purpose as indicated herein. If purchasing, transacting and/or acting in behalf of other person(s), I hereby warrant that I have been duly authorized to perform such acts and permitted to give their information to SGI Philippines General Insurance Company, Inc. I hereby bind myself to advise all other persons in whose behalf I have acted, transacted with and/or purchased any product or services from SGI Philippines General Insurance Company, Inc. of all the terms and conditions herein. I will hold SGI Philippines General Insurance Company, Inc., directors, officers, employees, agents, successors and assigns free and harmless from an liability that may arise as a result of the authorization given above. By signing this form, I hereby certify that I have read and understood the foregoing and this consent remains valid and binding unless I submit a written notice to SGI Philippines General Insurance Company, Inc. revoking or altering the same.