1.9 KiB
Company name:
Street/Address:
ZIP, City:
Country:
Name:
Street/Address:
ZIP, City:
Country:
Email:
Phone number:
In ................ (City), ................ (Date)
Personal data erasure request
To Whom It May Concern:
I am hereby requesting immediate erasure of all of my personal data according to Article 17
GDPR.Please erase all personal data concerning me as defined by Article 4(1) GDPR.
If I have given consent to the processing of my personal data (e.g. according to Article 6(1) or
Article 9(2) GDPR), I am hereby withdrawing said consent.
In addition, I am objecting to the processing of all my personal data (including profiling),
according to Article 21 GDPR.
In case you have disclosed the affected personal data to third parties, you have to communicate my request for erasure of the affected personal data, as well as any references to it, to each recipient as laid down in Article 19 GDPR. Please also inform me about those recipients. If you object to the requested erasure, please justify such objections with reference to relevant GDPR Articles. My request explicitly includes any other services and companies for which you are the controller as defined by Article 4(7) GDPR. As laid down in Article 12(3) GDPR, you have to confirm the erasure to me without undue delay and in any event within one month of receipt of the request.
If you do not answer my request within the stated period, I am reserving the right to take legal action against you and to lodge a complaint with the responsible national or European supervisory authority.
Yours Sincerely, ..............................
Personal identification information
[fill the information *optional]
Temporary residence:
Permanent residence:
Personal identification number (Birth number):
Date of birth:
ID number:
Passport number: