GDPR Right to Erasure Request Form

Your Name

Prénom

Nom

Your Email

Address

Adresse ligne 1

Adresse ligne 2

Ville

State / Province / Region

Postal Code

Pays

Phone

Identity Documents

Our organization needs to verify your identity and address in order to respond to your request.

Proof of Identity

Cliquez ou déplacez un fichier dans cette zone pour le téléverser.

Please attach a photo of your passport or driving license, clearly showing the photo and name.

Proof of Address

Cliquez ou déplacez un fichier dans cette zone pour le téléverser.

Please attach a photo or scan of a utility bill or bank statement showing your address (no more than 3 months old).

Data Subject Details

Are you requesting erasure of your own data?

Data Subject's Name

Prénom

Nom

Data Subject's Address

Adresse ligne 1

Adresse ligne 2

Ville

State / Province / Region

Postal Code

Pays

Data to be Removed

Please tell us why you would like this data to be erased

Storage is no longer necessary
Consent was originally granted but has now been removed
I/ the data subject object to the processing of personal data
Data may have been used unlawfully
Data subject is a child

Please specify the data you would like us to remove

Is this information visible on a web page?

Yes
No

Please provide the URL

Declaration

I consent to my identity being checked to action this request

GDPR Right to Erasure Request Form

Identity Documents

Data Subject Details

Data to be Removed

Declaration

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