Right to Erasure Request Form

Right to Erasure Request Form

You are entitled to request us to erase any personal data we hold about you under EU General Data Protection Regulation (GDPR). We will do our best to respond promptly and in any event within one month of the following: Our receipt of your written request; or Our receipt of any further information we may ask you to provide to enable us to comply with your request, whichever happens to be later. The information you supply in this form will only be used for the purposes of identifying the personal data you are requesting that we erase and responding to your request. You are not obliged to complete this form to make a request, but doing so will make it easier for us to process your request quickly.

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1. Details of the person requesting information

Please note: Fields marked “Required” are mandatory. We cannot respond to your enquiry without this information.

2. Are you the data subject?

Please tick the appropriate box and read the instructions which follow it:(Required)
If we are not satisfied you are who you claim to be, we reserve the right to refuse to grant your request.
Accepted file types: pdf, jpg, png, Max. file size: 2 MB.
Passport, photo driver’s license, national identity card, birth certificate
Accepted file types: pdf, jpg, png, Max. file size: 2 MB.
Utility bill, bank statement, credit card statement (no more than 3 months old), current driver’s license

3. Details of the data subject

4. Reason for erasure request

Given the sensitive nature of erasing personal data, GDPR Article 17(1) requires certain conditions to be met before a request may be considered. Please supply us with the reason you wish your data to be erased and please attach any justifying documents to this one.(Required)

5. What information do you wish to erase?

Please note that in certain circumstances, where erasure would adversely affect the freedom of expression, contradict a legal obligation, act against the public interest in the area of public health, act against the public interest in the area of scientific or historical research, or prohibit the establishment of a legal defense or exercise of other legal claims, we may not be able to erase the information you requested in accordance with article 17(3) of the GDPR. In such cases you will be informed promptly and given full reasons for that decision. While in most cases we will be happy to erase the personal data you request, we nevertheless reserve the right, in accordance with Article 12(5) of the GDPR, to charge a fee or refuse the request if it is considered to be “manifestly unfounded or excessive.” However we will make every effort to provide you with the erasure of your personal data if suitable.

6. Declaration

Please note that any attempt to mislead may result in prosecution.
Confirmation(Required)
MM slash DD slash YYYY
Documents which must accompany this application: Evidence of your identity (see section 2) Our receipt of any further information we may ask you to provide to enable us to comply with your request, whichever happens to be later. Authorization from the data subject to act on their behalf (if applicable) Justification for erasure of data (see section 4)
This field is for validation purposes and should be left unchanged.