I, acting freely, by my will and in my interest, give the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences" of the Ministry of Health of the Russian Federation (TIN 7019011979, address: 111-A Kievskaya str., Tomsk), hereinafter referred to as the "Personal Data Operator", consent to the processing of my personal data, the list of which is contained in paragraph 1 of this document, for the purposes specified in paragraph 2 of this document, by performing actions, the list of which is contained in paragraph 3 of this document.
1. I give my consent to the Personal Data Operator to process the following personal data: surname, first name, patronymic; gender; date of birth; information about the identity document (series, number, date of issue, name of the issuing authority, unit code); address of the place of permanent residence; address of the place of temporary stay; telephone number; e-mail address on the Internet; individual taxpayer number (TIN); insurance number of the individual personal account (SNILS) contained in the insurance certificate of compulsory pension insurance; all, without exception, the details of the compulsory medical insurance policy; my photo and video image taken while on the territory of the Personal data Operator; information about the facts of applying for medical care, health status and diagnosis, other information obtained during medical examination and treatment.
2. I give my consent to the Personal Data Operator to process my personal data for the following purposes: to provide me with medical care; to provide me with other services provided by the Personal data Operator; to control the quality and safety of medical care; to protect the life and health of citizens; to protect my property and my property rights; to protect the rights and legitimate interests of the Personal data Operator and employees of the Personal data Operator; to conduct scientific research; implementation of the types of activities provided for by the constituent documents of the Personal Data Operator, including for performing the functions of the national medical research center; administration of justice and law enforcement; compliance with the requirements of the current legislation of the Russian Federation; conducting inspections by the state control (supervision) body, municipal control body.
3. I give my consent to the Personal Data Operator to process my personal data by performing any actions (operations) or a set of actions (operations) performed with or without the use of automation tools with personal data, including collection, recording, systematization, accumulation, storage, clarification (updating, modification), extraction, use, depersonalization, blocking, deletion, destruction of personal data. I authorize the Personal Data Operator to transfer my personal data for the purposes specified in paragraph 2 of this consent on the basis of duly executed requests from the following entities: the Administration of the President of the Russian Federation, the Plenipotentiary Representative of the President of the Russian Federation in the Federal District, federal state authorities, state authorities of the subjects of the Russian Federation, local self-government bodies, the Prosecutor's Office of the Russian Federation, the Commissioner for Human Rights in the Russian Federation, deputies of the Federal Assembly, deputies of regional and local legislative authorities, the Compulsory Medical Insurance Fund and other state extra-budgetary funds, medical insurance organizations operating in the field of compulsory medical insurance.
This consent is given by me for an indefinite period and can be revoked at any time by submitting a corresponding written notification directly to the Operator of personal data.
