Polarisindustries: Data Subject Request Form

This form will be used to submit a data subject request under the provisions of the European Union General Data Protection Regulation (GDPR).

Submitter Details

Name*

Address*

Customer/Account Number if applicable

Type of Request

Consent Withdrawal

Access request

Rectification of personal data

Erasure of personal data

Restriction of processing of personal data

Personal data portability request

Objection to processing of personal data

Request regarding automated decision making and profiling

Personal data involved*

Request details*

Request reason/justification*

Date (dd/mm/yyyy)*

Please solve this simple equation*

*Required

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