טופס בקשת נושא הנתונים
The rights which have been granted to Data Subjects have been determined under the applicable law (the “Law“). Pursuant to the Law, you may submit your claims regarding your rights in written or by other means specified by the applicable Personal Data Protection Board which the Law is determined.
In this context; you are required to convey any claims with respect to your rights referred to in the Law, by filling in this form, through one of the following methods, along with the information and documents relevant to the request, through the following channels:
| SUBMISSION METHOD | SUBMISSION ADDRESS | DESCRIPTION |
|---|---|---|
| In Person |
Getverify LDA Avenida do Infante, no. 50, 9004-521 Funchal, Madeira, Portugal |
You can apply in person submitting any documents certifying/confirming your identity. |
| Through Notary Public | We request you to include any documents certifying/confirming your identity and to put a phrase like “personal data request” on the envelope. | |
| Via Registered Letter | We request you to include any documents certifying/confirming your identity and to put a phrase like “personal data request” on the envelope. | |
| Via an e-mail message signed with Secure Electronic Signature or Mobile Signature | support@eSIM io | The applicant is required to sign the e-mail message via a Secure Electronic Signature or Mobile Signature and to define subject of the e-mail message as “personal data request”. |
| Through your personal e-mail address which have been notified to us in advance | support@eSIM io | The applicant is required to send the e-mail message through an e-mail address which has been notified to us in advance and to define subject of the e-mail message as “personal data request”. |
This form has been prepared in order to guide you to submit a clear and understandable request. Other applications/claims bearing the above mentioned conditions shall be considered. In contrast; applications/claims not bearing the above mentioned conditions, or applications where documents confirming the identity are deficient are not processed until these deficiencies are eliminated in order to ensure data security. In this context, the Company reserves the right to request any kind of confirmatory information and documents in order to reveal the identification of the applicant, or to request disclosure in cases where the request is not clear.
Depending on the nature of your request, we shall finalize it free of charge, as soon as possible, and within 30 (thirty) days at the latest. In case an additional cost arises while finalizing your request, you may be charged for the fees in the tariff pre-determined by the applicable Personal Data Protection Board which the Law is determined.. Your requests shall be responded in written, by sending a mail to your correspondence address specified below or by electronic mail which shall be conveyed to your e-mail address or security e-mail address specified below. Therefore, please make sure that the personal data given below is accurate and that you are authorized to share it.
1. Contact Information of the Applicant
Please fill in your contact information to complete your request.
|
Name-Surname of the Data Subject |
: |
|---|---|
|
Personal ID No/Passport No of the Data Subject |
: |
|
Mailing Address/Mail of the Data Subject |
: |
|
If applicable; E-mail address, Telephone or Fax No of the Data Subject (Optional): |
: |
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Your Relationship with the Company |
: ☐ Client ☐ Business Partner ☐ Visitor ☐ Other (Please specify) |
|
Product Subject to the Request |
eSIM io |
2. Details of the Request
Please indicate your request under the Law.
| # | Subject of the Request | Your Choice |
|---|---|---|
| 1. | Please kindly specify whether your company has processed my personal data. | ☐ |
| 2. | Please kindly specify any detailed information in case your company has processed my personal data. | ☐ |
| 3. | Please kindly specify the purpose of processing my personal data and whether my personal datahave been used properly in accordance with the purpose. | ☐ |
| 4. | Please kindly specify the domestic/international third parties (if any) to whom my personal data have been transferred. | ☐ |
| 5. | I believe that my personal data is incompletely/inaccurately processed. Please kindly correct my Personal Data accordingly. |
☐ Please specify your correction request:……………………... |
| 6. | Although my personal data have been processed in accordance with the law and other relevant provisions, I think that the reasons for processing have disappeared, therefore I would like to have my personal data deleted/destroyed/anonymized. | ☐ |
| 7. |
I believe that my personal data is incompletely/inaccurately processed.
Please kindly ensure that my Personal Data, which have been transferred
to the domestic/international third parties a) are corrected accordingly. b) are deleted. c) are anonymized. |
a) ☐ Please specify your correction request:……………………... b) ☐ c) ☐ Please check only one box. |
| 8. | I believe that the processing of my personal data by your Company exclusively via automated systems have caused me in a disadvantageous situation, hence I want to request an objection on this subject. |
☐ Please specify the disadvantageous situation caused by processing:……………………... |
| 9. | I have suffered loss/damage as a consequence of unlawful processing of my personal data by your Company, therefore I want to claim a compensation. |
☐ Please specify the unlawful processing:……………………... |
I hereby declare that the information and documents submitted annexed to this application are accurate and up to date, hence I kindly request you to evaluate my application in accordance with the Law and to submit your answers accordingly.
Name-Surname of the Applicant:
Date of Application:
Signature:
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