Declaration of Consent Las Namo, Fest Name: (On exooutng my senatre belo, | consent othe tansmision and eorage by Goethe naiut of personal data at") provided under the terms of restaton and inconjuneien ith the perfrmance of future agreement its hoadguartr in Munich, Gomany COLA") and ‘hereto combinein fs cenral customer database tid data wih ny ther fy persona data Previous provid and sored theo, apples, Furtharmere, | consent to the use of my Cala by Goathe inst and GIO not only for Berorning the contractual agroemeny, but io for ha purposes of mall research advert Sand marketing associated wth tho rango of earies ofered ty Cowen and, parca, fo: proding telovart dverizemens or surveys (vet), eg, bout new courses ore by Goethe-naat to mea the contact aderss | have proved, ctr by post oa my Spee ‘equest~ ato by telephone, fax oma o ont message, Data concerning examinations | ave taken may ago be transite o GHA for storage end ein the conta examination eres (or e main ported of 10 yous) fr vocation Purposes and fer suing replacement carticeles, as rut. To the exten Data relics © ‘xarinatone ening my foreign spouse o recat hare wth pw hereby authonze GING onfim, atthe reques! of the Geran utontes, the suenichy of © cetfcte | Nove Sutmited te 2 goverment agancy. Gocth-instut wil no use my Data for any ther purpose than the epocfed inthis consent ‘areemen or provde any Dats o's td pay, loss fete &reesenaule suspen of ane oneering he Date, | Rave boon informed that | may revoke my parison to use my Data for markt research, ‘aversing and marking purpocoe at any Une Face, Date, Sgraire ‘Yes, | woul aso the ifloamaton sent to me by emattert messapeelohonelan ‘sc, Dae, Sqnatus ee ee Fight ot Revocation You may exercise your right to revoke by completing the section below, either now or at some ‘etre ies © thereby evoke my peoisson,efecve Inmate, forte use of my Da for avericng and mereoing purposes Place Date, Sraire