[Add any other relevant information to identify data subject]
WHAT INFORMATION ARE YOU REQUESTING?
☐Confirm if Halogen and ERA uses or processes my personal data.
☐Copies of the personal data Halogen and ERA hold about me.
☐Object to Halogen and ERA using my personal data for ___________________________. (this only applies in some circumstances)
☐I believe Halogen and ERA hold inaccurate information about me and want to correct it.
☐I want Halogen and ERA to temporarily stop using or processing my personal data due to ___________________________________. (This only applies in some circumstances)
☐I want Halogen and ERA to delete my personal information. (This only applies in some circumstances)
☐Transfer my personal information/records to ____________________for the purpose of _______________________.
DECLARATION
I _____________________________________ confirm that I am the data subject named in this Subject Access Request Form.
Signed________________________ Date_____________
[ Data Subject should provide a proof of identity e.g., National ID, Passport, etc.]
OFFICIAL USE ONLY
Request actioned:
Data Protection Officer:
Date:
Want to print your doc? This is not the way.
Try clicking the ⋯ next to your doc name or using a keyboard shortcut (
