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I confirm that the information I have provided is my personal data and, where it is not my personal data, that I have the consent of the owner of such personal data to provide such information.

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By providing this information, I understand and give my consent for Dynamix Group Pte Ltd and their respective representatives or agents to:

a. Collect, use, store, transfer and/ or disclose the information, to or with all such persons (including
any member of the Dynamix Group Pte Ltd or any third party service provider, and whether within or outside of Singapore) for the purpose of enabling Dynamix Group

Pte Ltd to provide me/us with services required of an insurance provider, including the evaluating, processing, administering and/ or managing of my/our relationship and policy(ies) with Dynamix Group Pte Ltd, and for the purposes set out in Dynamix Group Data Use Statement which can be found at http://www.certaintyinlife.com.sg (“Purposes”).

b. Collect, use, store, transfer and/ or disclose personal data about me/us and those whose personal data I have provided from sources other than myself for the Purposes.

c. Contact me/us to share with me information about products and services offered by Dynamix Group Pte Ltd that may be of interest to me/us by post/e‐mail/telephone/and text message