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Consent form for communication with a third party

As an student, I understand that, in accordance with data protection and confidentiality laws, EM Strasbourg cannot share my personal or academic information with third parties without my explicit consent.


However, in the event of an emergency or a situation requiring important communication, or in the event of issues and/or difficulties related to my academic journey:

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I, the undersigned, __

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born on _ *
a student in the following program:  *

authorizes EM Strasbourg to contact and share information with third parties in case of an emergency or situation requiring important communication

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