Data Subject Rights Request Form

BASIC INFORMATION: Please provide the following information to help us verify your identity and respond to your request:

Full Name(s)*

Date of Birth*

Mobile Number*

Valid Email Address

NATURE OF REQUEST: Please indicate the nature of your request by checking the applicable option(s) below:

Applicable Option(s)*

Right of Access - I want to know what personal data you have about me.

Right to rectification - I want to correct inaccurate or incomplete data you have about me.

Right to Erasure (Right to be Forgotten)- I want you to delete the personal data you have about me.

Right to Object to Direct Marketing - I object to the processing of my personal data for direct marketing pursoses.

Right to Withdraw Consent - I withdraw my consent for the processing of my personal data.

Right to Restriction of Processing of Data - I restrict processing of my personal data.

Right to Lodge a Complaint

Right to Data Portability - I want to receive personal data from a data controller in a structured, commonly used, machine-readable format and to transmit it to another data controller.

Right against Automated Decision Making, including Profiling - I do not wish to be subjected to a decision based solely on automated processing, including profiling, which produces legal effects concerning or significantly affects me.

DETAILS OF THE REQUEST: Please provide additional details regarding your request to help us process it efficiently. This may include information about specific data or the context in which the data was provided:

PROOF OF IDENTITY: To protect your personal data, we require proof of your identity. Please provide a copy of one of the following documents:

Tick appropriately*

Passport

National Identity Card

Employee ID

PREFERRED METHOD OF CONTACT:

Tick appropriately*

Phone Call

SMS

PREFERRED METHOD OF RECEIVING YOUR PERSONAL DATA REQUEST: Please indicate your preferred format for receiving the information we provide in response to your Request:

Tick appropriately*

Hardcopy Printout (To be collected in person)

Emailed Digital Copy (sent to the email address provided in your request)

DECLARATION:*

I confirm that the information provided in this form is true and accurate to the best of my knowledge. I understand that Mascom Wireless may need to contact me for further information to process my request. Further also, I hereby give/do not give my consent to receive such communication, including updates and information related to this request, via the email address I have provided.

UPLOAD PROOF OF IDENTITY: (*Required)

Instructions:

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