ࡱ> q` !bjbjqPqP .$:: ```8 $xGIIIIII$dh2m9mmmmGmGmm; `5^[0,p;; >,m>$bmmj[m{d d  Nombre de la empresa: ............................................................................................... Sector: ............................................................................................................................ Direccin postal: .......................................................................................................... Poblacin: ........................................................ C.P.: ......................................... Direccin de correo electrnico: ............................................................................... CIF: ................................................................................................................................ Telfono: ................................................................. Fax: .......................................... Director/representante: ............................................................................................... Nmero de empleados: ................................................................................................ Est suscrito a nuestro Plan de prevencin de riesgos laborales? %s %no Domiciliacin bancaria Nombre de la empresa: ............................................................................................... Titular de la cuenta: ...................................................................................................... Banco/ Caja: ................................................................................................................. Poblacin: ............................................................... C.P.: ......................................... Nmero de cuenta:  Sello del socio Firma del socio proteccin de los datos aportados por la empresa En cumplimiento de lo prevenido por la Ley Orgnica 15/1999, de 13 de Diciembre, de Proteccin de Datos de Carcter Personal, se informa: De la existencia de un fichero y tratamiento de sus datos, de carcter personal, que se solicitan en este documento a efectos de firgurar en el Fichero Protocolo, Difusin y Publicidad, cuya finalidad es la de enviar informacin sobre las actividades de la Asociacin. Del carcter facultativo de la respuesta a la presente solicitud de datos. Los datos solicitados se destinarn a la finalidad expuesta, y su negativa a suministrarlos imposibilitar la misma. Los interesados podrn ejercitar en cualquier momento los derechos de acceso, rectificacin, cancelacin y oposicin previstos en la Ley mencionada. El responsable del fichero es la Asociacin de Empresarios de Binfar y Comarca de la Litera (C/ San pedro, 17, 1 planta, oficina 11, 22500-Binfar ) #,Ln !!!!!!! ! !!!ȼȼȺȼjhYUjhYUhYCJOJQJaJhYjhYUUhYCJOJQJaJh~hYCJOJQJaJh~hY:CJOJQJaJhY:CJOJQJaJhYCJOJQJaJvx ] _ . 0 2 ` h^h$dha$dkd$$IfTF~!!064 FaT $dh$Ifa$  !` &"$hdh$If^ha$ $hdh^ha$#{ $ & F L^`La$$a$ $&dPa$ $dh`a$$dha$Ff$hdh$If^ha$A los efectos prevenidos en la Ley O 15/1999, de de 13 de Diciembre , manifiesto mi expreso consentimiento para el tratamiento y comunicacin de los datos de carcter personal que constan en el presente documento, en relacin a la finalidades mismo.       !!!!!! ! ! ! !!!!!$a$$a$$a$,1h. 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