I hereby state that all of the personal and sensitive information given by me are true and correct to the best of my knowledge, freely, consciously, and voluntarily given to MAA General Assurance Philippines, Inc. (“MAAGAP”).

I further agree and consent that the above information are being collected and recorded for purposes which are relevant and necessary in the possibility of securing an insurance contract or transacting business or any other related activity with MAAGAP.

In line with my consent, I hereby authorize MAAGAP to keep, store, enter in their processing system, update, use, access, process the information given to it, and to share, transfer or disclose data to their affiliates,partners, brokers, agents and representatives, intermediaries, industry associations and third parties such as but not limited to outsourced service providers, external auditors, and local and foreign regulatory authorities for purposes of marketing, provision of any products, services, or offers through social media/mail/email/fax/SMS/telephone, profiling, research, customer satisfaction surveys, statistical and risk analysis, tax monitoring, review, and reporting, compliance with court and other lawful order and requirements, with Anti-Money Laundering Act, Credit Information System Act, and all other regulatory laws, and all other activities consistent with the provisions of the Data Privacy Act of 2012 subject to the appropriate security safeguards as made manifest by the existing foregoing laws and their respective Implementing Rules and Regulations (IRRs) with the understanding that MAAGAP shall faithfully comply with any further issuances, directives and regulatory matters promulgated by all government agencies and instrumentalities concerned with monitoring and regulating the processing of personal information and/or data.