Exercising of the right of access



Name / business name: (*)
Address of the center to which the right of access is exercised: (*)
Zip Code: (*)
Locality: (*)
Province: (*)


Mr/Mrs.(*)
, adult,
address:
number
of
Zip Code(*)
with DNI/NIE (*),
with e-mail (*)

through this document I exercise the right to access, in accordance with the provisions of articles 13 of Organic Law 3/2018, of December 5, on Protection of Personal Data and Guarantee of Rights Digital, and 15 of Regulation EU 2016/679, General Data Protection Regulation (GDPR)
In order to define the data or treatment activities I specify the following:
My relationship is based on


I request that Data controller or processor facilitates me, for free, the exercise of my right of access within one month, from the receipt of this request, and to give me, at the address indicated above, the following information:

- Copy of all my personal data that is subject to treatment by this Controller..

- Specification of the purposes of the processing, as well as the categories of personal data concerned.

- Details of the recipients or categories of recipient to whom my personal data have been disclosed.

- Information about the safeguards adopted in relation to the transfer of my personal data to a third country.

- Where possible, the envisaged period for which the personal data will be stored, or, if not possible, the criteria used to determine that period.

- The existence of automated decision-making, including profiling.

- Information about the source of my data, (where the personal data are not collected from the data subject).

- The existence of the right to request from the controller rectification or erasure of my personal data or restriction of processing of personal data concerning the data subject or to object to such processing.

- The right to lodge a complaint with a supervisory authority.


In
,date
of
20

IMPORTANT: For the correct exercise of the right of access, a photocopy of the DNI, or NIE where applicable, of the Data Dubject must be attached to the present application, as long as it is the exercise of a right of personal ownership.

Attach file (*)


(*) Required information
NOTE: It is important that all information that is marked as required (*) is completed to allow the system to send to the form. We can not accept any form that does not have attached the file with DNI / NIE.

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