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First Name

Last Name

Email

Mobile

65

Registered Vehicle Number

Type Of ID

Owner ID (Last 4 characters, eg. 123A)

Estimated Mileage (km)

Intended Handover Period

I consent to the collection, use and disclosure of my personal data by Jardine Cycle & Carriage Limited and its subsidiaries and affiliates (“JCCL”), in accordance with the terms of JCCL’s Privacy Statement (which can be found at www.cyclecarriage.com/privacy-statement) and hard copies of which are available from JCCL upon request.

I wish to receive customer surveys and information about promotions, events and products and services (“marketing and promotional information”) from JCCL. I consent to the collection, use and disclosure of my personal data for such marketing purposes by JCCL and its agents.

I understand that notwithstanding the above, marketing and promotional information may be sent to me by push and/or pop-up notifications through JCCL’s mobile application(s) should I install the application(s) on my mobile device. I agree that by enabling push and/or pop-up notifications in my device or mobile application settings, I consent to receiving such marketing and promotional information.

My consent above is voluntarily given and I am aware that I may withdraw my consent at any time by sending a notification to Republic Auto Marketing at ramarketing@republicauto.com.sg. I have read and understood the Privacy Statement and been acquainted with my right to access my personal data. I have checked and do confirm that the personal data I have provided is true, complete and accurate.

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Certified Pre-Owned Cars

Servicing

Company