I hereby expressly consent to the processing of the following personal data by OM Consulting s.r.o.,

registration number 02154439, having its registered office at Sokolovská 668/136d, 186 00

Praha 8, incorporated by entry in the Companies Register maintained by the Municipal Court in

Prague under number C 216227 (hereinafter referred to as the “Administrator”) within the

meaning of Act No 101/2000 on the protection of personal data: my first name and surname,

company name, email address, and telephone number (hereinafter referred to as the

“Data”). This data needs to be processed in order to contact the customer. The Administrator

will process this data for three years. I give my explicit consent to the aforementioned


[1] I may withdraw my consent to the processing of the Data at any time. If I withdraw my

consent, the Administrator will be entitled to process only basic data identifying me insofar as

is strictly necessary for it to comply with its obligations under the contractual relationship, if

any, between us, and for as long as is strictly necessary to protect its legitimate interests.

[2] Further, I am aware that I may request the above from the Controller by serving written notice

of withdrawal on the Controller at Sokolovská 668/136d, 186 00 Praha 8.

[3] I understand that, under the Personal Data Protection Act, I have the right to withdraw my

consent at any time, to ask the Administrator for information on the personal data that is

being processed, to ask the Administrator for explanations regarding the processing of the

personal data, to demand access to this data and to have it updated or corrected, and to

request the Administrator to erase this personal data, and that, if I have doubts about

compliance with obligations related to the processing of personal data, I may contact the

Office for Personal Data Protection at Pplk. Sochora 27, 170 00 Praha 7.

I expressly declare that I am entitled to give this consent, that I am over 18 years of age and that, by

providing the Data and other information to the Administrator, I have not breached any legislation of

general application. I further confirm that the Data and other information I have provided to the

Administrator about me is true.