I/We declare that:
(i) the particulars stated above are true and correct;
(ii) I/we have read and agree to be bound by the Terms and Conditions set out herein and on the reverse side of this Form;
(iii) I/we have read Coway’s Privacy Notice at https://www.coway.com.my/privacy-notice and consent to the collection and processing of my/our personal information by Coway in accordance with Coway’s Privacy Notice;
(iv) I/we have obtained the prior consent of the Second Contact Person stated above for the collection and processing of his/her personal information by Coway in accordance with Coway’s Privacy Notice;
(v) Persuant to the Credit Reporting Agencies Act 2010 (“the Act”), I/We hereby give my/our consent to the registered reporting agency (“CRA”) under the Act to disclose my/our credit information to COWAY for the purpose of determining my/our credit standing.