Request For Erasure Of Personal Data

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Section 1

REQUEST FOR ERASURE OF PERSONAL DATA

DETAILS OF THE DATA SUBJECT

Name

Identity (ID) Number

Phone

E-mail address:

(Provide the following details where making a request on behalf of a minor or a person who has no capacity)

Name

Relationship with the Data Subject

Contact Information

REASONS FOR THE ERASURE REQUEST

Your personal data is no longer necessary for the purpose for which it was originally collected;

You have withdrawn consent that was the lawful basis for retaining the personal data;

You object to the processing of your personal data and there is no overriding legitimate interest to continue the processing;

The processing of your personal data has been unlawful;

Required to comply with a legal obligation.

PERSONAL DATA TO BE ERASED

Describe the personal data you wish to have erased.*

Write Here

DECLARATION

Note any attempt to erase personal data through misrepresentation may result in prosecution.

I confirm that I have read and understood the terms of this request form and certify that the information given in this application is true.

Signature Pad

Date*

Select Date ×

Your form has been submitted

Thank you. We will process this and get back to you ASAP.

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