Use this form to make a privacy request regarding your personal information. The different types of requests you can make are found below. Enter your details, choose the type of request you would like to make, and submit the form.
Data Subject Details
About your personal information
The information you provide here will be processed solely for the purpose of verifying your identity and residency, identifying the information you’re requesting, and answering your request.
How we will process your request
We intend on completing your request within the required amount of time based on governing law, however, if fulfilling your request requires more time, we will notify you to extend this timeline.
The processing of this request is free of charge. Please note that we may refuse to act, as allowed within governing laws, if a request is insufficiently substantiated, unfounded, or excessive. If we are unable to process the request for the above reasons, we will notify you.
Data Subject Contact Information:
| Name – Surname : | |
| Phone Number : | |
| E-mail : | |
| Address : | |
Please Tell us Your Relationship with Our Company.
| ☐ Customer☐ Service Provider/Supplier | ☐ Employee☐Other: …………………………………………………………….. | ||
| ☐ Former EmployeeWorking Years: ………………………. | ☐ Employee Candidate Application Date : ………………………………………………………..☐ Third Party Company EmployeePlease tell us your company and working position information. ……………………………………………………………………………… | ||
Type of Request:
☐Right to data access
Request a report detailing how your personal information may be collected, used, and disclosed.
☐Right to data portability
Request your personal information be shared in a machine-readable format.
☐Right to data deletion/erasure
Request your personal information be purged or anonymized.
☐Right to data rectification
Request the correction of inaccurate or outdated personal information.
Please Explain Your Request:
…………………..…………….……………………………….……………………………….……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..…………………..…………….……………………………….……………………………….………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
How would you like to be notified of our response to your application?
☐ I want it sent to my address.
☐ I want it sent to my e-mail address.
(If you choose the e-mail method, we will be able to respond to you faster.)
☐ I want to receive it by hand.
(If it is requested to be received by proxy, a notarized warrant of attorney or authorization document is required.)
The Data Subject:
Signature :
Application Date :