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Questionnaire

We are asking for your personal data to make it possible to give you devices without deposit. You can be sure that we are saving it confidential.

When more fields you are filled, when higher limit you will have..

Personal information

Last name*

First name*

Patronymic*

Если нет поставьте пробел.

Birthday*

Passport*

Passport date*

Billing address*

Facial address*

Type '-' if whey are the same

Marriage*

Contacts

Mobile phone*

Additional phone

In case of my absence, contact*

Close relatives, friends, colleagues

Social media links*

Email*

Link to your personal site or portfolio

Job

Place, position*

You can also point IE or Freelance

Company site

Work phone

Personal income*

How many years you are working with photos?*

Which brand are you prefer?*

How did you know about us?

I confirm that the information contained in this Application Form is correct and accurate at the indicated date. I confirm my consent to the processing of my personal data, including the rental of the verification of the accuracy of the information provided by contacting third parties. My consent to the processing of personal data extends to the processing by any means, including collection, systematization, accumulation, storage, updating, clarification (verification), modification, use and distribution (including transmission), including reproduction, electronic copying, depersonalization, blocking , destruction, as well as the above processing of my other personal data obtained as a result of such processing. These consents are for an indefinite period.

Individual entrepreneur Kovalev Kirill Sergeevich
Address: Yekaterinburg avenue Lenina 50D - 122
TIN: 665814449303
OGRIP: 313665808800046
Tel .: +7 (343) 290-70-11

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Претензии и предложения

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