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Form for the exercise of the Right of Deletion
Form for the exercise of the Right of Deletion
Affected person’s or legal representative’s data
Name
*
I.D.
*
Address
*
City
*
Province
*
Zip Code
*
Email
*
How do you act?
I act on my own behalf
I act on behalf of a third person
Name
*
I.D.
*
Address
*
City
*
Province
*
Zip Code
*
Email
*
By means of this form, I exercise my right to deletion, in accordance with the provisions of Article 17 of the Regulation (EU) 2016/679 of the European Parliament and Council of April 27, 2016, regarding the protection of natural persons with regard to the processing of personal data and on the free movement of such data (RGPD), and request that the Company proceed with the deletion of all personal data of the affected person (or of the person represented) for the following reasons:
Or that the personal data of the affected person (or of the person represented) be blocked, in case the data controller cannot proceed with their definitive deletion, due to the legal time limits established in the legislation currently in force that applies to the activity of the Company.
By means of this form, I exercise my right to rectification, in accordance with the provisions of Article 17 of the Regulation (EU) 2016/679 of the European Parliament and Council of April 27, 2016, regarding the protection of natural persons with regard to the processing of personal data and on the free movement of such data (RGPD), and request that the Company, in case of acceptance or denial of the exercise of deletion, shall send me the resolution in writing, within a period of one month, by means of:
*
Postal Mail, to the postal address
Email, to the address
Postal Mail, to the postal address
*
Email, to the address
*
By means of this form, I exercise my right to rectification, in accordance with the provisions of Article 17 of the Regulation (EU) 2016/679 of the European Parliament and Council of April 27, 2016, regarding the protection of natural persons with regard to the processing of personal data and on the free movement of such data (RGPD), and request that, if the deleted data had been previously communicated or transferred, the data controller shall notify the deletion to the persons to whom they had been communicated, as established by Article 19 of the GDPR.
GDPR
*
I accept the
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