Company Profile Removal Request

You are submitting this request as

The person, or the parent/guardian of the person, whose company's name appears above.

An Agent Authorized by the consumer to make this request on their behalf.

I am submitting a request to

Know what information is being collected from my company

Have my information deleted

Opt out of having my data sold to third parties

Other (please specify in the comment box below)

I confirm that*

Under penalty of perhury, I declare all the above information to be true and accurate.

I understand that the deletion or restriction of my personal data is irreversible and may result in the termination of services with Exim Trade Data.

I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request.

Company Profile Removal state autonomous institution of the republic of sakha yakutia yakutsk city hospital 3