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Republic of Kazakhstan, 010000, city Astana

Agreement for the processing of personal data
In accordance with the Law of the Republic of Kazakhstan on Personal Data and their Protection, I hereby provide my consent to the Mariam Kazakhstan Foundation (hereinafter referred to as the Foundation) for the processing, implementation of activities, inclusion in the database of the online platform, and information support and coverage on the website. I hereby grant permission to the Foundation to collect and process my personal data, in both paper and electronic form, for the purpose of concluding and executing agreements between the Foundation and its legal representatives, through the use of social networks, internet, television, and print media. Personal data refers to any information recorded on electronic, paper, or other material media that pertains to the subject and their legal representatives. This includes, but is not limited to:

  1. Information required for completing questionnaires and applications and for proper identification;
  2. Information on family and social status;
  3. Information necessary for communication and determining the subject's place of residence or work;
  4. Information related to the Foundation's provision of assistance.
  5. I hereby give my consent to "Mariam Kazakhstan" Public Foundation for the photo and video recording of me and my family, as well as for the collection, systematization, accumulation, storage, updating (renewal, modification) of photo and video materials free of charge, including their placement on the official website of the Foundation, as well as in mobile applications, social networks, on TV channels and other media, in printed publications, magazines, banners, calendars, video clips, and advertising materials as illustrations.
  6. The Foundation is not allowed to use the images in ways that could harm the honor and dignity of my family or our business reputation.
To continue registration, accept the terms of the agreement
Please fill all fields
Select area
Your residential address
Your marital status
How
many times have you had IVF
Your AMH level
Your FSH level
Do you have any chronic diseases?
Are you registered at the dispensary?
Motivational letter
Attach a scanned copy of the ID in pdf format
Do you have any allergies?
Recording with ultrasound of the pelvic cavity (no later than 3 months)
A copy of all operations
Spermogram of the spouse (no later than 6 months)
Marriage certificate
How
many times have you been pregnant
How
many children do you have
Have you had an abortion?
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