Appendix No. 2

Data Subject's Request for the Exercise of Rights

The EU General Data Protection Regulation No 2016/679 provides that a data subject has the right to access their personal data, to request that the data controller rectify or erase their personal data, to restrict the processing of personal data relating to the data subject, or to object to such processing. This form for exercising the data subject's rights will help us to obtain the information required to fulfil the data subject's rights.

Please specify the company to which you are submitting this request:

In order for us to respond to your request, we need to know the nature of your relationship with the company to which you are submitting this request. Please tick the appropriate option(s):

☐ Employee
☐ Customer
☐ Customer's employee
☐ Supplier
☐ Supplier's employee
☐ Visitor to the company's website
☐ Other (please specify) ____________________________

1. First name, surname

2. Date of birth

3. Data subject's residential address

4. Data subject's contact details

• Telephone number:
• Email address:

5. Information about the data requested, details of the personal data requested to be erased, or information regarding the data requested to be corrected

Please provide additional information to help us locate your personal data, delete your data or rectify your data (e.g. the specific period for which you are requesting the personal data being processed, the specific period during which emails were sent; if you have changed your surname, please state your previous surname). If we do not receive sufficient information regarding the data you have requested, we will unfortunately be unable to provide a response to your request.

6. Please indicate whether the request for information is being made by the data subject themselves or by their representative

☐ Data subject
☐ Data subject's representative

If the request is made by the data subject's representative, please provide the information specified in point 8 and a copy of the document confirming the representation.

7. I confirm that I am the data subject

• Signature:____________________________________________________________________________________
• First name and surname:_______________________________________________________________________
• Date:________________________________________________________________________________________

Where the request is made in person to a Company employee, the Company employee shall specify:

Identity document presented to verify the person's identity:

☐ Passport
☐ Identity card

---

Employee's first name and surname, signature

8. If the request is submitted by a representative of the data subject, please state the basis for representation and their contact details

• First name and surname of the data subject's representative:_________________________________________
• Signature of the data subject's representative:_____________________________________________________
• Date:_________________________________________________________________________________________
• Documents confirming representation: ___________________________________________________________
• Contact details to which the reply should be sent: __________________________________________________

9. Method of receiving the reply

I would like to receive the reply:

☐ By email
☐ In person

First name and surname, signature: _______________________________________________________________

---

Please note that we will endeavour to respond to your request within a period of no more than 30 (thirty) calendar days. This period may, if necessary, be extended by no more than a further 2 months, depending on the complexity and number of requests. Upon receipt of your request, verify your identity as the data subject to ensure that information regarding the is not disclosed to unauthorised third parties. Should you have, please do not hesitate to contact us by email at [email protected].