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The data concerning you contained in this form is for use by our establishment and our technical service providers in order to process your request. You agree to our personal data privacy policy. In accordance with the modified Act No.78-17 of 6 January 1978 and the general regulation concerning data protection, you have the right to access, rectify, delete, oppose and limit the processing of your personal data, as well as the right to the portability of data and definition of your directives concerning the management of your data after your death. For further information, consult the legal notice.