I hereby declare I am the owner of or have obtained permission of all information included in this form.

I authorise Lung Cancer Europe (LuCE) to use without restriction the information and photos provided.

I hereby give my consent to the processing of this information to the extent necessary for the achievement of the purposes mentioned above.

I understand that I have the right, as data subject, to access data relating to me, to be informed about the existence and the extent of data processing, to rectify incorrect personal data as the case may be and to oppose further processing on serious and legitimate grounds. To exercise these rights, please Lung Cancer Europe at https://www.lungcancereurope.eu/contact-us/

This authorisation shall apply worldwide and for as long as the information is subject to legal protection. It can be withdrawn by informing Lung Cancer Europe at https://www.lungcancereurope.eu/contact-us/