Rights Exercise Form

 DATA SUBJECT RIGHT REQUEST FORM

 This form is used by any person (customer, partner, employee, business contact, volunteer etc.) to submit a request to our company «QUALITY ASSURANCE AND CONTROL SYSTEMS LTD», under the distinctive title «QACS», (hereinafter referred to as the “Company” or “QACS“), regarding their rights as granted by the General Data Protection Regulation (EU) 2016/679 (GDPR) and Law 4624/2019.

Guidance Notes

Please read the Guidance Notes which accompany this form before completing the form.

  1. Please fill in all the fields correctly and accurately.
  2. If you are making this request on the data subject’s behalf, you should provide your personal information in the relevant section.
  3. Please attach/enclose a copy of any identification document of yours (eg. Identity Card, Passport, Driver’s License). Any identification documents sent should be photocopies or scanned images (do not send the originals).
  4. You should identify the right(s) you are pursuing. Please refer to our Website’s Privacy Policy ( https://www.qacslab.com/privacy-policy/ ) for more details.
  5. Please describe the specific information/action you are requesting. Furthermore, in order to help us process your request quickly and efficiently, please provide relevant details (such as relevant dates, references, etc.) about the right that you are pursuing.
  6. Please submit your completed request form:
a) as a secure e-mail attachment to the following email addresses: [email protected] or [email protected]
b) via post mail in printing to our address, Antigonis Str. 1, Metamorfosi , PC: 14451, Greece

DATA SUBJECT RIGHT REQUEST FORM

 

DETAILS OF THE DATA SUBJECT
FIST NAME, SURNAME
CATEGORY (customer, employee, business contact, other: please specify)
ADDRESS (street, number)
CITY (city, region, PC)
TELEPHONE / MOBILE NUMBER
EMAIL ADDRESS
PROOF OF IDENTITY
DETAILS OF THE REPRESENTATIVE OF THE DATA SUBJECT
FIST NAME, SURNAME
ADDRESS (street, number)
CITY (city, region, PC)
TELEPHONE / MOBILE NUMBER
EMAIL ADDRESS
PROOF OF IDENTITY
PROOF OF AUTHORITY (a certified copy of a Power of Attorney)
RIGHTS OF THE DATA SUBJECT [√]
Right to information
Right of access
Right of rectification
Right to erasure (“right to be forgotten”)
Right to restriction of processing
Right to data portability
Right to object
Right not to be subject to a decision which may include a measure based solely on automated processing, including profiling
Withdraw your consent (where given)

 

DESCRIPTION / DETAILS OF THE REQUEST
RECIEPT OF RESPONSE [√]
Via e-mail
Via post mail to our address
Receive it in person

 

 

Declarations of the Company

Upon receipt of your request, the Company will process it. The satisfaction of your request is subject to the requirements of the applicable law. Our Company will begin processing your request as soon as we have verified your identity and we have all the information we need to locate your personal data.

The Company undertakes to make every effort to take the required action within thirty (30) days of receipt of your request. That period may be extended by another sixty (60) days if necessary, taking into account the complexity and number of the requests. In that case, we will inform you of any such extension within thirty (30) days of receipt of your request, together with the reasons for the delay.

The personal data you provide by submitting this form will be processed by our Company solely for the purpose of identifying the personal data you are requesting and responding to your request. Depending on your request, your personal information will be disclosed to the responsible Departments of the Company in order for your request to be processed quickly and efficiently.

Your submitted request and the personal information included will be stored for five (5) years, unless further storage is provided by law (including the establishment or defense of a legal claim), in accordance with the law and applying reasonable and appropriate technical and organizational security measures to protect your personal data.

For further information on the processing of your personal data by our Company, on your rights, or any other relevant questions, you may refer to our Privacy Policy or contact our Data Protection Officer (Tel.: (+30) 210-2934745 & email:  [email protected] ).

I hereby declare that the information provided above is true and accurate and I am entitled to make the request identified above under the terms of the law, and I agree to be processed by the Company for the specific purpose of processing and satisfying my request.

  (Place), (Date)

 

 

(Signature)

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