By completing and submitting this form to register for the Event:
b. I consent to the collection, use and disclosure of my personal data by Sanofi in the manner described in
Sanofi’s Personal Data Protection Notice.
c. I understand that Sanofi will use the information I have provided in this form to be in touch with me and to
provide information and updates on the event.
SANOFI PASTEUR c/o sanofi-aventis (Malaysia) Sdn . Bhd. (334110-P)
Unit TB-18-1, Level 18, Tower B, Plaza 33, No.1 Jalan Kemajuan,
Seksyen 13, 46200 Petaling Jaya, Selangor Darul Ehsan, Malaysia
For healthcare professionals only.
MAT-MY-2100013 – 1.0 – 01/2021