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2023.fia .Wadb .Declaration

The document is a declaration of consent for the World Accident Database (WADB). It states that the applicant consents to the collection and processing of their personal data, including sensitive medical information, in the event of a motor sport accident or incident. The data may be stored electronically after the applicant's license expires and used for safety research. The applicant acknowledges reading and understanding the WADB guide, which provides information on accessing, rectifying, or objecting to their personal data processing. By checking a box, the applicant confirms understanding and accepting the declaration of consent.

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Anjum Ansh Khan
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137 views1 page

2023.fia .Wadb .Declaration

The document is a declaration of consent for the World Accident Database (WADB). It states that the applicant consents to the collection and processing of their personal data, including sensitive medical information, in the event of a motor sport accident or incident. The data may be stored electronically after the applicant's license expires and used for safety research. The applicant acknowledges reading and understanding the WADB guide, which provides information on accessing, rectifying, or objecting to their personal data processing. By checking a box, the applicant confirms understanding and accepting the declaration of consent.

Uploaded by

Anjum Ansh Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The Federation of Motor Sports Clubs of India

A-25, Krishna Towers, 50 Sardar Patel Road, Chennai 600113


Ph : (91) (44) 22352673/22355304 E: [email protected] W: www.fmsci.co.in

2023 WADB Declaration of Consent

I, the undersigned Applicant, expressly consent to the collection, use and processing of data
related to myself, including personal and sensitive data (such as medical information) in
relation to my involvement in a motor sport accident or incident and related ONLY to the
circumstances of the accident or incident and its immediate outcome, including any injuries
suffered, by an appropriately authorised person representing the FIA or the National
Sporting Authority.

I, the undersigned Applicant, agree that said data may be stored electronically, even after
the expiration of my licence, and may be used at any time, for the sole purpose of research
in support of improving safety in motor sport competitions, during and after the validity
period of my licence, on the World Motor Sport Accident Database ("WADB").

I, the undersigned Applicant, acknowledge that I have read and fully understood the WADB
Guide published by the FIA, which provides for further information about such data
collection and processing, including the conditions under which I may request access to my
personal data, its rectification or suppression, and object, on legitimate grounds, to its
processing.

By checking this box I, the undersigned Applicant, confirm that I UNDERSTAND AND I
ACCEPT the present WADB Declaration of Consent.

Date :      
Place :      

     

Name of the Applicant Signature of the Applicant

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