…………………………………….

(name and last name)

…………………………………….
(address)

…………………………………….
(address)

STATEMENT

of the consent to the processing of personal data

for recruitment purposes

I hereby give consent for my personal data, included in my CV and personal statement, to be
processed for the purposes of recruitment to internship program Leopolis for Future, under the
th
Data Protection Act from 29 August 1997 .

………………………………………………………………..
(date and candidate’s signature)