Alba Science - Clinical Panel Registration Link- 2020

Pre-Registration- Confirmation of Consent

Please ensure you have read the information on our website http://www.albavolunteers.com before completing this questionnaire.

Question Title

* 1. I can confirm that I have read the information on the website www.albavolunteers.com, I would like to register and become a volunteer for Alba Science.

Yes

No

Question Title

* 2. Completing this questionnaire I understand any personal information I provide will be stored within Alba Science electronic database.

Please note Alba Science will NOT share your data with any third parties.

Yes, I give permission for Alba Science to store my information.

No, I do not give permission for Alba Science to store my information.

Question Title

* 3. I understand Alba Science will contact me via the methods I provide in this questionnaire.

Yes, I give permission for Alba Science to contact me.

No, I do not give permission for Alba Science to contact me.

Question Title

* 4. I can confirm that I have read the above questions No 1, 2 and 3:

* I have read and understood the information on www.albavolunteers.com and would like to register.

* I agree for Alba Science to register me and store my personal information which I provide.

* I understand and agree for Alba Science to contact me via the methods I provide.

*I understand that this is my consent and I can withdraw my consent at any point. In order to remove my personal details from Alba Science database I understand I will have to contact Alba Science to request to remove my personal information.

Yes, I agree with all the above points and confirm my answers.

No, I do not agree with all the above points.