DepartureRequestForm
Aeroporto G. Marconi di Bologna Spa
YOUFIRST Services
Phone +39 051 6479616
Fax +39 051 6479080
Email:
Passenger 1 (name),Passenger 2 (name),
Infant (0-2 years):
Children (up to 10 years):
Total numberofpassengers
Applicant(name),
Phone:email:
Date ofdeparture
Flight n° Booking reference/ PNR:
Local time of departure Via:
Destinationairport
Baggage n°Hand luggage n°:
Specific information :
Carrying special items YesNo
Date: Signature
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PRIVACY POLICY
Personal data and any sensitive data (e.g. details about any disabilities or diseases for the booking of special assistance or privileges, etc.) you have supplied will be collected and processed by BLQ for the purposes connected with the activities related to Marconi Business Lounge access and related services.
Failure to supply such data will prevent the service/product from being delivered;
Mandatory consent
After having read and agreed with the above written notice pursuant to Leg. D. 196/2003, I give my consent to the processing of my personal (even sensitive) data for the purpose of the supply of the required service/product and for the handling and reply by BLQ of remarks/complaints that I may intend to issue.
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We also ask you to express your optional consent or refusal in case you are interested in the following:
i) to receive dedicated promotions, discounts and special offers about services/products;
I give my consent
I refuse consent
ii) to receive operative and service information
I give my consent
I refuse consent
iii) to receive “Marconi Newsletter”
I give my consent
I refuse consent
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Your personal data will not be divulged by BLQ, but may be shared with external subjects exclusively in order to guarantee the correct supply of the required service/product and for a proper reply to any remarks/complaints you may need to issue.
In the specific case of payment with credit card, some information is collected (e.g. the number of the debit/credit card or its expiry date), forwarded, through cryptographic protocol to the bank system in charge of the electronic remote payment, preventing any third parties to have access to them in any way, or alternatively such data are directly collected and processed by the bank system in charge, data processor for privacy in order to financial transactions.
Data processing is done through electronic, IT and paper means compliant with the applicable regulations.
Moreover, personal data is stored by BLQ for a restricted period, according to the purposes for which it was collected.
The responsible body for the data processing is BLQ- Aeroporto G. Marconi di Bologna S.p.A., offices in Bologna on Via Triumvirato 84, and the appointed person responsible for the data processing concerning the exercise of one's rights pursuant to Art. 7 is the company CEO.
As person concerned you may exercise the rights pursuant to art. 7 of the Code for data protection, among which the right to obtain confirmation, updating and cancellation of your data, by sending a specific request to the e-mail address: .
Bologna, date______
SIGNATURE
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