Retrieval Form

FUJIFILM Business Innovation Philippines Corp. (FUJIFILM BI PH) is in compliance with the Department of Environment and Natural Resources (DENR) Philippines' implementation of the Extended Producer Responsibility Act (EPR).

The EPR Act aims to shift the responsibility for managing post-consumer products to the producers, including manufacturers, importers, and brand owners. This responsibility includes implementing systems that support the collection, reuse, recycling, and disposal of products at the end of their life cycle.

Please provide the necessary details for FUJIFILM BI PH to schedule retrieval

Company Name *
Company Address *
Contact Person *
Contact Number *
Email Address * Materials to be collected *

Used Toners

Drum Cartridges

Assorted Parts

Others

Toner Qty
Drum Cartridges Qty
Assorted Parts Qty
Requested Date of Retrieval (Option 1) *
Requested Date of Retrieval (Option 2)
Special instructions (if any)
Photo of items Privacy Statement *

I represent and warrant that I have the authority to provide the information submitted in this form (including information in any attachments) to FUJIFILM Business Innovation Philippines, and I give my consent for such information to be stored, used and/or disclosed by FUJIFILM Business Innovation Philippines for the purpose of investigating and/or responding to my feedback/inquiry.

I further authorize the processing of personal information, including subcontracting thereof and cross-border data transfer, in accordance with its privacy policy. In case of cross-border data transfer and subcontracting, the third party processor/controller or subcontractor shall be subject to comply with Philippine laws on Data Privacy and subject to the same obligations and liabilities as FUJIFILM Business Innovation Philippines.

E-Waste Retrieval Form

Retrieval Form

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