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www.betonalfa.com/en_solemn-declaration/

Date: …………………….

SOLEMN DECLARATION

For cashing out a betting slip that was stolen or lost, it is mandatory to collect and process the personal data mentioned below which is obtained through this form. The processing of such data is carried out pursuant to Article 6(1)(b) of the above mentioned Regulation, namely, for the purpose of executing a contract and Article 6(1)(f), namely, for the purpose of protecting the company against fraud and/or false representations. You do not have an obligation to provide the following data, nevertheless, without such data we will not be able to process the cashing out of the coupon which is not provided for any reason. Such data will not be used for any other purpose.

Your personal data is stored in a secure file at the company’s premises and it is retained for a period of 6 years from the submission of this form as this is necessary for the purpose of handling possible legal disputes between the customer and the company as well as for the company’s compliance with tax legislation.

Processing is confidential and your personal data will not be disclosed to any third parties unless this is mandatory within the framework of a legitimate obligation of the Company under special legislation or where this is required by a competent authority or where this is justified under the terms and conditions of the above mentioned Regulation or in the manner set out in the next sentence. The recipient of the above mentioned personal data is the representative of the company to whom this form is submitted and who delivers same to the company.

You have the right to access, correct, delete, and restrict the processing of the data mentioned below according to the terms and conditions of the abovementioned Regulation and in the manner explained in the company’s privacy policy at http://www.betonalfa.com.cy where you can find further information concerning the processing of personal data carried out by the Company.

If you believe that you have been harmed by any breach of the Regulation, you have the right to file a complaint with the Commissioner for the Protection of Personal Data.

You can also contact the Company’s Data Protection Officer, specifically Dr. Christiana Markou, Markou & Co, LLC, at the address: 2, Amphipoleos Street, Office 201, 2025 Strovolos, Nicosia, Cyprus, Tel: 22377863, Fax: 22377860, email: dpo@betonalfa.com.cy

 

I the undersigned……………………………………………………………………………………. with I.D. No. ………………………… solemnly declare that I have lost the betting slip that I have placed at the premises located at the address ……………………………………………… ………………………………………………………………………………………., dated ………………………… for the value of ………………Euros.

Description of betting slip:

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The Declarant (Signature)

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Witness (Name and Surname (I.D.)                                                                Witness’ Signature

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