財團法人資訊工業策進會
蒐集個人資料告知事項暨個人資料提供同意書
版本：P-V6-AIII-019
財團法人資訊工業策進會(下稱本會)為遵守個人資料保護法令及本會個人資料保護政策、規章，於向您蒐集個人資料前，依法向您告知下列事項，敬請詳閱。
一、蒐集目的及類別
本會因辦理「Smart, Safe, and American-Made: U.S.Tech and Cyber Values at the Frontline Program」或執行業務、活動、計畫、提供服務及供本會用於內部行政管理、陳報主管機關或其他合於本會捐助章程所定業務、寄送本會或產業相關活動訊息之蒐集目的，而需獲取您下列個人資料類別：姓名(Full Name)、性別(Gender)、Email、手機(Mobile) 、電話(Telephone)、公司/學校(Company / School)、部門/科系所(Company Department / Field of Study)、職稱(Job Title) 。
※您日後如不願再收到本會所寄送之行銷訊息，可於收到前述訊息時，直接點選訊息內拒絕接受之連結。
二、個人資料利用之期間、地區、對象及方式
(一) 期間：蒐集至115年8月31日
(二) 地區：中華民國主權範圍內
(三) 對象：本會自行使用/本會及本會委託之第三人（美國在台協會）使用
(四) 方式：以書面/或電子等形式處理、利用
三、當事人權利
您可依前述業務、活動所定規則或依本會網站（https://www.iii.org.tw/）「個資當事人行使權利專頁」公告方式向本會行使下列權利：
(一) 查詢或請求閱覽。
(二) 請求製給複製本。
(三) 請求補充或更正。
(四) 請求停止蒐集、處理及利用。
(五) 請求刪除您的個人資料。
四、不提供個人資料之權益影響
若您未提供正確或不提供個人資料，本會將無法為您提供蒐集目的之相關服務。
五、您瞭解此一同意書符合個人資料保護法及相關法規之要求，且同意本會留存此同意書，供日後取出查驗。
個人資料之同意提供：
一、本人已充分獲知且已瞭解上述貴會告知事項。
二、本人同意貴會於所列蒐集目的之必要範圍內，蒐集、處理及利用本人之個人資料。
立同意書人：
中華民國 年 月 日
Notification and Letter of Consent for Collection, Processing and Use of Personal Information
版本：P-V6-AIII-019
According to the R.O.C. Personal Information Protection Act and the internal policy/regulations of Institute for Information Industry (hereinafter referred to as “III”), III is obligated to make the following notification known to you before you provide personal information to III. Please read it carefully.
Purposes and Categories of Personal Information to be Collected
For the purpose of carrying out III’s business, activity or project, the purpose of providing service, internal administrative management or reporting to the competent authority, the purpose complying with the Endowment, or the purpose of sending III’s or industry relevant information, III needs you to provide these categories of personal information: Full Name, Gender, Email, Mobile, Telephone, Company / School, Company Department / Field of Study, Job Title.
Note: You may choose, at any time in the future, not to receive any promotional information from III by clicking the link provided in the promotional message.
Time Period, Areas, Manners of use of Personal Information and Entities to use Personal Information
Period: Until 2026/08/31.
Areas: Within the territory of the Republic of China (Taiwan).
Entities to use Personal Information: The Institute itself / The Institute and third parties commissioned by the Institute AIT(American Institute in Taiwan).
Manners of use of Personal Information: Processed and utilized in paper and/or electronic form.
Your Rights with regard to Personal Information Provided
You may exercise the following rights in pursuant to the rules of the activities/project or by submitting your inquiry/request on our website (https://www.iii.org.tw/) at “Application for Exercising Rights with Regard to Personal Information” page:
any inquiry and request for a review of the personal information;
any request to make duplications of the personal information;
any request to supplement or correct the personal information;
any request to discontinue collection, processing or use of the personal information;
and
any request to delete the personal information.
The Influence on Your Rights and Interests while You Choose not to Provide Your Personal Information
If you provide incorrect personal information or choose not to provide your personal information to III, III may not be able to provide you with services relating to the purposes prescribed above.
You understand that this document complies with the R.O.C. Personal Information Protection Act and relating regulations, and you agree that III keeps this document for further checking.
The Consent to Provide Personal Information:
I have read and understood the above notification.
I agreed that III may collect, process and use my personal information for the purposes of collection prescribed above.
Date (MM/DD/YYYY):_____________________