authorization for treatment of personal data

Through this document I grant express authorization For the processing of my personal data to CLINIQ Dermoestetica and Laser S.A. domiciled in Medellin with address circular 71 #39-33 Email serviceAlcliente@cliniq.co and phone 604 444 05 90. This authorization will be governed by the provisions of Law 1581 of 2012, Decree 1377 of 2013 and in particular by the following: