Firstly this form is required to prove that you have voluntarily entered a relationship with the Laferla Group which includes:

• Laferla Insurance Agency Limited; Company Nr C14529; Registered at 204A, Vincenti Buildings, Old Bakery Street, Valletta VLT1453, Malta;
• Laferla Holdings Limited; Company Nr C11059; Registered at 25/20, Vincenti Buildings, Strait Street, Valletta VLT1432, Malta;
• Laferla Services Limited; Company Nr C79815; Registered at 25/20, Vincenti Buildings, Strait Street, Valletta VLT1432, Malta; and
• Any other company which may in future be established with the same direct or indirect control, forming part of the Laferla Group.

The aim of this form is to allow us to manage your relationship with the Laferla Group and keep you informed regarding services offered by the Group.

Also, as part of our obligations under data protection regulation, in particular the EU General Data Protection Regulation (GDPR), we are required to ensure that your personal data is kept up-to-date.

We require your Name, Maltese ID Card Number, Address, E-Mail Address and Mobile Number. Your e-mail address and mobile number are required as these will be used to communicate with you on matters regarding your relationship with Laferla (such as but not limited to, matters regarding an insurance policy for example a renewal reminder or a claim status notification). If you wish to receive marketing information, you may also opt-in via this form.

When you fill in this form, or provide other personal information, this will be processed by the Laferla Group. This information will be considered and used in relation to the service you requested even after we decide to provide you, or not, our services, as we explain in the full Data Protection Information available on our website or at our offices. This may include sending this data outside of the European Union.

You confirm that you are older than 18 years of age and that the data that you provide on behalf of other individuals was provided with their prior consent. You also confirm that the guardian(s) of any minors about whom you have provided data have agreed for you to provide this data. You confirm that all personal information which you have provide is true, accurate and you will notify the Laferla Group of any changes to this information.

Notwithstanding your rights as explained in detail in the Additional Data Protection Information, your data will be stored for the duration of your relationship with the Laferla Group, and for a maximum of 10 years (or longer, only if specifically required in future by any particular laws) following the termination of the relationship.

For more information on how we process your data, please see the Data Protection page.

• Controller: Laferla Insurance Agency Limited and/or Laferla Holdings Limited and/or Laferla Services Limited (“the Laferla Group”).
• Purposes:
  1. Management of the relationship between the data subject and the Laferla Group;
  2. Processing, monitoring and updating of any request for information, business, pre-contractual or contractual relationship;
  3. Maintenance and integral and centralised management of the relationship with the Laferla Group.
• Recipients: Data may be communicated to third parties and/or data transfers may be made to third-party countries in the terms stipulated in the Additional Information.
• Rights: You can exercise your rights of access, rectification, removal, limitation, objection, transferability, and filing a complaint with the IDPC, as specified in the Additional Data Protection Information.
• Contact: [email protected]
• Additional Information: You can view the Additional Data Protection Information at our office or online at www.laferla.com.mt/data-protection.