Please complete the below in full.
By signing this form, you agree that I-Tech Solutions may collect, use and disclose your personal data, as provided in this form, or (if applicable) obtained by our organisation as a result of your policies, for the following purposes in accordance with our POPI Policy (available at our website):
(a)the processing of this application; and
(b)the administration of the policy.
Please visit our terms and conditions page for further details on our POPI Policy, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data.
Phone: 033 342 7567
Email:
Suite 3, Block D, Hilltops House, Hilltops Office Park, 73 Villiers Drive, Pietermaritzburg
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