First Name*
Last Name*
Email*
Telephone Number
I want to be excluded from the Class in the collective proceedings in Mr Roger Kaye KC v Google… Case No. …
I understand that by submitting this form I will be excluded from the claim, and that if this claim results in a damages award, I will not receive any compensation.
I agree that my electronic signature on this form is the equivalent of my handwritten signature. I further agree that my electronic signature on this form is as valid as my handwritten signature. I hereby confirm that the electronic signature has been produced with my consent.
* Denotes a Required Field.