CONSENT 
to the processing of personal data

I, _____________________________________________________________________________
surname, name, patronymic (if available)

Address of residence _____________________________________________________________
_______________________________________________________________________________
Identity document ________________________________________________________________
_______________________________________________________________________________ (passport/other ID series __________ № ____________, issued __________________________)

I give my consent to the processing of personal data to the Ministry of Economy of Ukraine (the Secretariat of the Committee for the Appointment of Heads of Enterprises Especially Important for the Economy).
1.	Personal data will be processed in order to ensure consideration and processing of documents and information about me in connection with the competitive selection for the positions of Independent Member of the Supervisory Board of the The Private Joint Stock Company “National Power Company “Ukrenergo” (hereinafter - NPC “Ukrenergo”),  as well as for purpose of forming a list of potential candidates selected from among the applicants, to be determined by the Committee for the Appointment of Heads of Enterprises Especially Important for the Economy (hereinafter – Nomination Committee) within one year from the list of applicants for replacement in case of the candidate's refusal, non-appointment or early termination of powers of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”.
2.	The following personal data will be processed by the Owner (the Ministry of Economy of Ukraine): education information, profession, specialty and qualification, scientific degree, academic title, professional development, passport data, data about awards, information of financial obligations, property status, autobiographical data, labor activity and work experience information, professional competences, personal information (name, patronymic(if available), surname, age, gender, marital status, family composition, etc.), information about registered or actual place of residence, registration as an individual person in the State Register of individuals - taxpayers, electronic identification data (biographical certificates, telephone numbers), image records (photos).
3.	The Owner will carry out the following actions with personal data:
•	analysis and processing of personal data, using personal data, which involves owner`s any actions of personal data to process such data, their protection, as well as actions to grant partial or full right to process personal data to other subjects of relations related to personal data, carried out with the consent of personal data subject or in accordance with the Law of Ukraine "On Personal Data Protection" (Article 10 of the said Law), except for the actions specified in paragraph 4 of this consent;
•	personal data distribution, which involves the information transfer about individual person with the personal data subject`s consent (Article 14 of the said Law);
•	personal data access to third parties carried out in accordance with this agreement or legal requirements.
4.	Personal data will be transferred: 
•	to HR company involved in the competitive selection in order to conduct a check of applicants for the position of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”; to carry out a preliminary participants selection and to ensure the maintenance of communications with them; to evaluate all the participants of selection for compliance with the requirements for applicants for the position of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”, approved by the Nomination Committee; to form a list of potential candidates selected from among the applicants, to be determined within one year from the list of applicants for replacement in case of the candidate`s refusal, non-appointment or early termination of the powers of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”;
•	to the National Police of Ukraine in order to obtain information about the absence (presence) of applicants' criminal records, prohibitions to hold relevant positions or engage in certain types of activities;
•	to the Nomination Committee to determine the candidacy of an applicant for the position of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”;
•	to the ownership entity of the NPC “Ukrenergo” for the purpose of forming a list the potential candidates selected from among the applicants, to be determined within one year from the list of applicants for replacement in case of refusal of the candidate, non-appointment or early termination of the powers of the Independent Member of the Supervisory Board of NPC “Ukrenergo”;
•	to the Cabinet of Ministers of Ukraine together with the draft decision on the approval/election of a candidate for the position of the powers of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”.
In case of change of my personal data, I undertake to provide updated, reliable information and originals of relevant documents for updating my personal data during the competitive selection for the position of the Independent Member of the Supervisory Board of 
the NPC “Ukrenergo”.
I am informed about the processing of personal data as any action or set of actions, such as collection, registration, accumulation, storage, adaptation, change, renewal, use and sharing (distribution, implementation, transfer), depersonalization, destruction of personal data, including using information (automated) systems.
Consent is given for the necessary period to achieve the goal specified in paragraph 1 of this consent and may be withdrawn on the application sent to the owner of personal data. Personal data destruction will be done a year and two months after the end of the competitive selection for the position of the Independent Member of the Supervisory Board of the NPC “Ukrenergo”.

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                                                                                                                             (signature)