口罩博士(本機構)透過本表格所收集的閣下個人資料，將被用作為閣下提供，閣下要求之本機構的產品以及服務資訊用途。本機構亦會不定時透過閣下提供的聯絡方法，向閣下發送本機構認爲閣下會感興趣的其他本機構產品及服務資訊。
閣下可在任意時間終止這項對本機構的授權。閣下依法享有對閣下個人資料的查閱權及反對權。閣下在行使各項權力時需通過電郵： 向本機構負責人提出。請參考我們的私隱政策。
如閣下同意以上陳述，請在格子内打“提”。
我授權口罩博士按本表格所陳述之目的使用我的個人資料。
如閣下已經授權口罩博士使用閣下個人資料，請略過。
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