INSERT DATA IN THE FOLLOWING FORM:

NAME OF BROKER
NAME OF CONTRACTOR
BENEFICIARY NAME
CONTRACT NUMBER
CONTRACT AMOUNT
PREMIUM PAID
DATE OF ISSUE
EXPIRATION DATE
NAME OF FORM APPLICANT
EMAIL OF APPLICANT
PHONE CONTACT
ENQUIRY OF THE APPLICANT

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ALL SUBJECTS NOT ENTITLED UNDER CONTRACTS ISSUED, IN ACCORDANCE ,WITH THE LAW OF UK- EU DATA PROTECTION, WILL NOT RECEIVE THE REQUIRED INFORMATION.

Informative document as per art. 13 Legislative Decree 196 of June 30 2003

"Protection of persons and others with respect to the processing of personal data" The Code on the protection of personal data, adopted with the Legislative Decree no. 196 of June 30th, 2003, as subsequently amended, (hereinafter indicated also as the "Code" or the “Law”), obliges the persons defined as "Data controllers" for the processing of personal data, pursuant to art. 4 of the same Law, to provide all Data Subjects with precise information on the processing, if any, of their personal data.

As far as Law enforcement is concerned, pursuant to Section 5, the Code shall not apply to the processing of personal data relating to legal persons, companies, bodies or associations.