GDPR Right to Erasure Request

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Your Name

First

Last

Your Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Identity Documents

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

would you Declaration

Proof of Identity

Click or drag a file to this area to upload.

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

Proof of Address

Click or drag a file to this area to upload.

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 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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

Declaration

I consent to my identity being checked to action this request

Signature

Clear Signature

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