Redefining MS together

Oman

Kindly register your contacts below

Also, we are seeking your consent to communicate via email/mobile phone for promotional and medical purpose.

First name

Last name

Mobile phone

Hospital / Center

Consent Declaration:

I consent to receive communications from Roche and its local agent in Oman (Mazoon Pharmacy LLC (Local agent for Roche in Oman)) and its affiliates regarding (1) Roche’s products and services; (2) Roche sponsored programs, events and initiatives; (3) customer feedback and (4) medical and educational information through email, SMS, calls, direct mail and other Roche communication channels.

Consent Declaration:

I hereby, acknowledge that I have voluntarily disclosed my personal data such as, but not limited to my name, email address, contact number etc. to Roche and its local agent in Oman (Mazoon Pharmacy LLC (Local agent for Roche in Oman))

I understand and agree that my personal information will be collected, stored and used in accordance with Roche Privacy Policy for the below purposes.

I acknowledge that Roche will take appropriate precautions to protect my personal information and will comply with local legislation governing data recording and usage.

I confirm that I have read and understood the above provisions and conditions in their entirety.

Roche Privacy Policy