Data Subject Request Form

  1. VALIDATION, REPRESENTATIVE & CONFIRMATION

You shall provide enough information to allow us to reasonably verify you as the person about whom we collected Personal Data or an authorized representative. We cannot respond to your request if we cannot verify your identity or authority to make the request and confirm the Personal Data is related to you. 

Please substantiate your request with sufficient detail that allows us to properly understand, evaluate, and respond to it.

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Representatives: (complete if you are acting as the representative for a data subject)

Note, we may still need to contact the data subject where proof of authorization or identity are required. 

Representative’s Name:


Relationship to data subject:


Email:


I confirm that I am the authorised representative of the named data subject:

Representative’s Name: ____________________

Signature: __________________


Confirmation:

Data Subject Name


Signature


Date