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that OMRON may collect, use and disclose your personal data, as provided in this form, for the purposes set out in our Privacy Policy (available at our website,, and particularly for the processing and the administration of your query and/or service requests within OMRON. Please access our Privacy Policy for further details on personal data management, including how you may access and correct your personal data or withdraw consent to the collection, use, or disclosure of your personal data.

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