Online Submission Page

To participate, please fill up the form below with your details.

* Required

Full Name of Participant *

Mobile Number of Participant (+65 SG Numbers only) *

Name of Participating Outlet *

Passport Serial Number *

Upload Your Mission 1 Photo *

Upload Your Mission 2 Photo *

Upload Your Mission 3 Photo *

Upload Your Mission 4 Photo *

I confirm that the information submitted is true and accurate. In the event the information submitted is found to be fraudulent, erroneous and/or incomplete in any way, I acknowledge that my participation in the Promotion may be rejected or deemed void at the Company’s sole discretion. *

I acknowledge that I have read and understood the Terms & Conditions and Privacy & Policy, and consent to the collection, use and disclosure of my personal data by EssilorLuxottica Asia Pacific Pte Ltd. for the purposes set out therein. *

I understand and provide consent that my personal data, including sensitive personal data such as biometric information (eg facial images or photographs) possibly submitted during this Promotion or campaign will be processed for the purpose of participation in the Promotion or campaign. I further consent to the potential disclosure of such personal data by EssilorLuxottica Asia Pacific Pte Ltd. including my sensitive personal data to third parties that may be located outside Singapore. *