Form for Exercising Rights

DECLARATION FORM FOR TH. DIMITROULAKOS S.A.

FOR THE EXERCISE OF THE DATA SUBJECT’S RIGHTS REGARDING THEIR PERSONAL DATA I, the undersigned: ________________________________________________________

  1. I hereby declare that I am exercising my right to rectification of inaccurate personal data concerning me and request that you rectify the data you hold on me as follows:
  1. I hereby declare that I am exercising my right to be forgotten and request the erasure of my personal data.
  2. I hereby declare that I am exercising my right to ensure the restriction of processing of my personal data and, specifically, I request that:
  1. I hereby declare that I am exercising my right to be informed of the rectification, erasure or restriction of the processing of my data, and I request that you inform me of: a) the rectification ……………… b) the erasure ……………… c) the restriction of processing ……………… (please tick your choice).
  2. I hereby declare that I am exercising my right to object to the processing of personal data and, specifically, I request that you cease processing my personal data
  1. I hereby declare that I am exercising my right to receive my personal data in a structured, commonly used and machine-readable format, as well as the right to transmit such data to another data controller (data portability); specifically, I request that you provide me with:
  1. I hereby declare that I am exercising my right of access to my personal data held by your company and my right to obtain information regarding all data concerning me, as well as its origin, the purposes of processing, the recipients or categories of recipients, and the progress of their processing since my last update; specifically, I request that:

 

Date: Tax Identification Number:
Full name: Signature: