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Please read and complete carefully the current form.
Please note that the answers to the square with an asterisk are compulsory and necessary to the treatment of your request. The personal information you give on this form are recorded in a file computerized by the company. This datas would be treated and used only if it is necessary to insure the treatment of your requests.
Your personal information will be kept during a time that will not exceed 13 months, except if :

• You exercise your right to get rid of the datas concerning you, in the conditions below described;
• A longer keeping time is authorized or imposed by virtue of a legal or statutory obligation.