Consent and Access Request
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Consent and Access Request
Requests
Request for access to personal information (Art. 27 ARPPIPS)
Request for rectification of personal information (Art. 28 or 30 ARPPIPS)
Request for removal from a nominative list (Art. 28.1 ARPPIPS)
I wish to receive :
To receive a copy of all documents concerning me, including those mentioned below:
That you correct or rectify the following personal information about me:
That you remove from the nominative list that you hold and use the following personal information about me:
I wish
The reasons for this request are as follows (attach any supporting documents):
The information will be sent to:
To the person concerned
To the representative
Name of authorized representative and address where personal information should be sent:
*** If the party represented hereby fails to sign, it is possible that you are an authorized representative by virtue of a valid power of attorney or an appointment of an assistant of legal age. Please attach a copy of this document.
Phone
This field is for validation purposes and should be left unchanged.
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Access to personal information
Requests
Request for access to personal information (Art. 27 ARPPIPS)
Request for rectification of personal information (Art. 28 or 30 ARPPIPS)
Request for removal from a nominative list (Art. 28.1 ARPPIPS)
I wish to receive :
To receive a copy of all documents concerning me, including those mentioned below:
That you correct or rectify the following personal information about me:
That you remove from the nominative list that you hold and use the following personal information about me:
I wish
The reasons for this request are as follows (attach any supporting documents):
The information will be sent to:
To the person concerned
To the representative
Name of authorized representative and address where personal information should be sent:
*** If the party represented hereby fails to sign, it is possible that you are an authorized representative by virtue of a valid power of attorney or an appointment of an assistant of legal age. Please attach a copy of this document.
Phone
This field is for validation purposes and should be left unchanged.
Δ
