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Consent Form for Contact Lens Purchase

By submitting the prescription form(s) and/or other document(s) to Lenskart Solution Pte (Private) Limited, I hereby consent to the collection, use and/or disclosure by Lenskart Solution Pte (Private) Limited of my personal data which may include medical or health data of a sensitive nature.

In addition to the purposes set out in Lenskart Solution Pte Ltd Privacy Policy, I acknowledge and agree that the personal data which I have provided may be collected, used and/or disclosed by Lenskart Solution Pte (Private) Limited for or in connection with any of the following purposes:

1. To facilitate and/or complete any purchase(s) on this website;

2. To facilitate Lenskart employee(s) and Lenskart appointed vendors to contact patient and invite patient in-store to do a eye health check if necessary to update Lenskart Solution Pte (Private) Limited (Private) Limited health records

3. To facilitate and/or complete any future purchase(s) on this website or our Apps or any other Lenskart digital or physical properties; and/or

4. To check and make enquiry with any relevant parties, including ophthalmic lens manufacturers, contact lens manufacturers, frame manufacturers, medical clinics and/or hospitals, for the purposes of facilitating and completing any purchase(s) on this website.

I acknowledge and agree that this Consent Form will be effective from the date that I submit the prescription form(s) and/or other document(s) to Lenskart Solution Pte (Private) Limited, and will remain effective until the date that I notify Lenskart Solution Pte (Private) Limited of my intention to withdraw my consent.*

*Please note that you have a right to withdraw your consent for the collection, use and/or disclosure of your personal data at any time. Simply refer to Lenskart Solution Pte (Private) Limited Privacy Policy which sets out the procedure to request for your personal data to be erased.