By submitting the form, I hereby grant Berlitz Indonesia permission to use my name, career profile and photo in the hereafter mentioned types of media: Request for Proposal and Berlitz Profile. Berlitz has the right to publish said name, career profile and photographs in the above- marked media; now existing or hereafter developed. I certify that I am of legal age and not prohibited or otherwise unable to grant the right described above. I also reserve the right to withdraw this permission at any time by writing to chris@berlitz.co.id.