test - HI-Eisai Pharmaceutical Inc.

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First Name*

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E-mail Address*

Specialty*

PRC Number*

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Contact Number

Clinic/Work Address

City

Hospital Affiliations

Other Hospital

By signing up in this digital resource, I understand and acknowledge that I may be disclosing personal information which would be collected, processed and stored in an automated HI-Eisai-managed member data base system and/or in the member data base system of its affiliates or authorized third parties, and which shall be used and administered solely by HI-Eisai, and its said affiliate companies and authorized third parties in connection with the implementation and enhancements of this digital resource. I give my consent to HI-Eisai and its directors, officers, employees, advisers, agents and representatives’ (a) collection, processing, storage and use of personal information; and (b) outsourcing of the collection, processing, storage and use of personal information to service providers whether within or outside the Philippines. The foregoing constitute my express consent under the applicable confidentiality and data privacy law of the Philippines and other jurisdictions, and agree to hold HI-Eisai and relevant parties free and harmless from any and all liabilities, claims, damages and suits of whatever kind and nature that may arise in connection with the implementation and compliance with the authorization I confer hereunder. The foregoing is without prejudice to my rights to reasonable access to, upon demand, and correction of my personal information, as well as my right to lodge a complaint before the National Privacy Commission, under Section 16 of the Data Privacy Act.

I likewise agree that the information referred to in this section may be disclosed to any of HI-Eisai-authorized affiliates and third parties for any purposes that may include implementation and improvement of the program. For these purposes, HI-Eisai and its authorized affiliates or authorized third parties shall store personal information, as defined under Section 3 (g) of the Data Privacy Act, for the duration of my registration and use of this digital resource.

I confirm that I am a registered Healthcare Professional residing and working in Philippines.

By providing my mobile number and/or email address, I hereby confirm and provide consent for HI-Eisai, its employees and/or affiliates, or authorized third parties to send notifications on HI-Eisai product updates, CME Announcements, Medical Information and contact me through the same. I understand that I may change my permissions at any time by updating my profile on the profile page.

I have read and accept the <a href="https://review.hieisai.com.ph/privacy" target="_blank">Privacy Policy</a>.

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