UrDNA Order Form - UrDNA Solutions

Bio Data

Full Name

Title

Email Contact

Contact Telephone Number with Country Code

Your Address

Are you in Nairobi or outside Nairobi?

DNA Test Order Details

Is the mother going to be tested?

How many fathers will be tested?

How many children will be tested?

Where will the sample be collected

If you have selected option 2 or 3 of the above questions, please enter the specific Address where the Kit or our Staff Lab will be sent to below

Booking/Appointment Date

Choose Date. {Exclude Sundays}

Your Consent

I hereby give consent that all the Entities of UrDNA may contact me by telephone, e-mail or mail to answer my questions formulated through the website form. I am aware that I have the right to withdraw my consent at any time with effect for the future, by e-mail to info@dnasolutions.co.ke . We inform you, that the withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal. Controller: UrDNA informs you that the information you provide us will be treated by UrDNA Solutions as the controller of this website. Purpose: The purpose for the collection and treatment of personal data is the management of the the information request. Legitimacy: The consent of the interested subject. Destiny: As a user and interested subject we inform you that the data you provide us will be located at our servers. Rights: The User may exercise their rights of access, rectification, erasure, opposition, restriction and portability to the processing of their personal data at info@dnasolutions.co.ke or you can make a request before a control authority.

With the click I give my consent (note above!)

With the click I give my consent to receive informative emails

I have read and I accept the Privacy Policy Info

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