Consent Form

We, at Glenmark Pharmaceuticals Limited and/or its affiliated companies (“Glenmark”) recognise that your personal data is important to you and we are committed to safeguarding and processing such information in a lawful manner.

With your consent, Glenmark wishes to collect, process and store personal data relating to you in your capacity as a scientific or healthcare professional.

Services:

Please mark the tick boxes below indicating information or services which are of interest to you.

1) Receiving scientific, medical and/or educational insights in the medical and/or pharmaceutical domain.


2) Embracing the opportunity to stay informed about Glenmark's pharmaceutical, medical, nutraceuticals, cosmetic products and services.


3) Joining a database of scientific and healthcare professionals, and for potential future consultancy engagements based on your expertise & professional capabilities.


4) Access to Glenmark’s informative and resourceful web portal: Glenmarkscience.com


Modes of communication:

1) In person meeting

2) Telephone

3) Through electronic / digital means / social media:




fill the form

Personal data:

In order to receive our information and services to you, please provide the following details:












For Internal employees only




By providing any of the aforementioned information, you acknowledge and hereby grant consent to Glenmark for processing your personal data solely for the specified services and to contact you through your preferred communication channels as indicated.

All personal data provided will be treated as strictly confidential and collected, processed, used and stored strictly in accordance with the terms of the relevant Glenmark privacy notice available on Glenmark’s privacy portal at www.glenmarkpharma.com/privacy-portal and all applicable privacy laws.

For updating, modification, or withdrawal of your consent regarding personal data, or if you require further information regarding the collection & processing of your personal data, as well as your rights related to it, please reach out to the Glenmark’s privacy team at dpo@glenmarkpharma.com.

Your engagement in any consultancy services with Glenmark and/or the information shared with you as part of market promotional activities by Glenmark are explicitly designed to ensure that they do not exert any improper influence or provide incentives for prescribing Glenmark medicines or pharmacy products. Glenmark is committed to maintaining ethical practices & adherence to professional standards in all its interactions with healthcare professionals.



By clicking ‘Submit’ I confirm I have read and accept the above.

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