Date of Application:
Company of interest:
Applicant Category:
Natural Person Legal Person
Organization Name *
Authorization letter number *
Commercial Registration Number *
Date of the Authorization Letter *
Delegate Name *
Address *
Zone *
Street *
Building Number *
City *
Workplace *
Mobile number *
Landline Number
Fax Number *
P.O. Box Number *
E-mail Address *
A copy of the authorization letter indicating the name of the authorized person *
Description of requested information *
What is the purpose of obtaining the requested information *
Is the request for this information urgent? *
YesNo
Justifications for urgency? *
Captcha *
General Terms:
The application will be decided within (15-30) days from the date of its submission, whether by acceptance or rejection, with a statement of rejection`s reasons provided to the applicant.
Adhere to utilize the information solely for the purpose specified on the application form.
In the event the requested information is or contains confidential or sensitive information and the company is willing to disclose it, such information shall only be disclosed to the author of the request subject to this person signing a Non Disclosure Agreement.
The applicant must receive the requested information within (7) seven days from the date of being notified of acceptance or rejection (in whole or in part), provided that he submits a new request if it exceeds the specified period referred to in this point.
It is not permissible to publish non-personal information obtained through the submitted application in the media or social media, or by copying it, or by any other means, except after obtaining prior consent of the Group.
I declare that the said data is true and correct, and I commit to use the information obtained through the application for the mentioned purpose only, indicating the source of the information and its details, if any.
I agree
For any further inquiries kindly to contact compliance team via the following email DPO@bein.com or compliance@bein.com.
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Full Name (as in the ID card): *
ID No *
Attach a copy of the ID card *