Meter Registration Form

Select your product below and add the serial number found on the back of your meter.

Fields marked with (*) are mandatory as information will be required for proper e-warranty registration purposes.

These look like madatory check boxes, please specify.(Yes they are mandatory check boxes)

I understand and am aware that Ascensia Diabetes Care Malaysia Sdn Bhd (Ascensia) maintains data base(s) where certain personal data about me under any program intiated by Ascensia, any Agreement, or any purpose in which I transact with Ascensia may be manually or electronically stored, processed and used.

By executing this consent form, I hereby consent and authorize Ascensia:
(i) to collect, store, process and use my personal data under the relevant Agreement or transaction into database(s) and for review or processing of the data or for being contacted by Ascensia.

I understand that I may at any stage request for a copy of the information stored in Ascensia database or for corrections to be made to such information. Further, I am aware that I may withdraw my constent for the collection or use or disclosure of my personal data by Ascensia as long as I provide reasonable written notice of 30 days to Ascensia.

I am happy to receive information from Ascensia Diabetes Care Malaysia Sdn Bhd by: