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You have the right to delete your registered name and e-mail address from our records.

Please indicate on this form if you wish to do this.

If no such request is received, your data will be retained for up to 24 months from the time of input and then deleted automatically.

After confirming your answers, kindly click the "Proceed" button.

* It is not able to save while you are writing, so please be prepared before start felling the blanks, thank you.
* Please be sure you have already filled the Entry format before writing to this format.

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