Form EDTDP - Data Subject Rights Exercise

Data Subject Rights Exercise Form

Form reference: EDTDP
Data Processor:

Dual Borgstena Trim Czech Republic s.r.o., with registered office at F. Cejky 427, 73801, Frýdek, Místek, CZECH REPUBLIC, taxpayer no. CZ29446457.
Legal grounds for exercising the right:

Articles 15 to 22 of the General Data Protection Regulation - Regulation (EU) 2016/679 of the European Parliament and of the Council of April 27, 2016.
Request for the Exercise of the Right of the Holder:

Under the terms and conditions laid down in the aforementioned articles, data subjects have and may exercise their rights of access, rectification, erasure and data portability, as well as their rights to restriction of processing, to object and not to be subject to exclusively automated decisions.

If the data subject is a minor, under the age of 16 or 18, these rights must be exercised by whoever has parental responsibility for the minor.

To exercise any of the rights relating to personal data concerning you or your child, you must complete this form and send it to our Data Protection Officer, using one of the following communication channels:

a) e-mail address: dataprotection@borgstena.com; If you choose this method of contact, please write "EDTDP Form" in the "Subject" field.

b) postal address: F. Cejky 427, 73801, Frýdek, Místek, CZECH REPUBLIC; If you choose this method of contact, you must send this form by registered mail, so that the date of receipt can be verified.

c) face-to-face service at the head office: F. Cejky 427, 73801, Frýdek, Místek, CZECH REPUBLIC; If you choose this method of contact, simply bring your identification documents with you for in person authentication by our Data Protection Officer.
Processing of Personal Data :

The processing of personal data in this form is necessary for the purposes of responding to the request, in compliance with legal obligations, and is carried out under the terms of the Data Protection Policy accessible at www.borgstena.com.
Data Subject Age

The subject is over 18 years old.The subject is a minor under the age of 16 or 18.
Data Subject
Name*
Date of birth*

DiaMêsAno
Data
Adress*
Landline:
Cell phone:
Email:*
example@example.com
Holder of Parental Responsability

If the data subject is a minor under the age of 16 or 18.
Name*
Date of birth*

DiaMêsAno
Date
Adress*
Landline
Cell phone
Email*
example@example.com
Order Details

In order for us to be able to respond to your request quickly and effectively, we need you to identify the right(s) you wish to exercise and to detail your request as fully as possible, including the personal data relating to the right(s):
Identify the right/s you wish to exercise:*

1. Right of acess to data2. Right of rectification3. Right to erasure of data4. Right to restriction of processing5. Right to data portability6. Right to object7. Right not to be subject to exclusively individual decisions8. Right to withdraw consent
Detail the request(s):
Signature of the data subject (according to the Citizen Card):

Clear
Term of Confirmation and Autentication

In order to guarantee the security of your personal data and not pass it on to unauthorized third parties, we require, in certain situations, depending on the type of request made, confirmation and proof of the identity of the holder of the personal data which is the subject of this form and the identity of the respective holder of parental responsibility (in the event that the data subject is a minor under the age of 16 or 18), by completing one of the following authentication terms (as appropriate), by a notary or other entity legally competent for this purpose.
Data Subject Age

If the data subject is of a legal age.If the data subject is a minor under the age of 16 or 18.
1. If the data subject is of legal age:
For the purposes of exercising the above-mentioned right(s) of (full name of data subject) Name, under the terms of this form, it is hereby confirmed and verified that the data subject and the applicant are the same person with the following identification data:
Full name
If the holder is of legal age
Date of birth

DiaMêsAno
If the holder is of legal age
Holder of Citizen Card no.
If the holder is of legal age
valid until

DiaMêsAno
If the holder is of legal age
These identification details have been checked in person.
2. If the data subject is a minor under the age of 16 or 18:
For the purposes of exercising the above-mentioned right(s) of (full name of data subject) Name, under the terms of this form, it is hereby confirmed and verified that the data subject and the applicant are the same person with the following identification data:
A. Data Subject
Full name
The data subject is a minor under the age of 16 or 18
Date of birth

DiaMêsAno
The data subject is a minor under the age of 16 or 18
Holder of Citizen Card no.
The data subject is a minor under the age of 16 or 18
Valid until

DiaMêsAno
The data subject is a minor under the age of 16 or 18
B. Holder of parental responsibility and applicant here:
Full name
Holder of parental responsibility
Holder of Citizen Card no.
Holder of parental responsibility
Valid until

DiaMêsAno
Holder of parental responsibility
These identification details need to be confirmed in person.
We will respond to your request as soon as possible, respecting in any case the maximum limit of 30 days provided by law for this purpose.

Without prejudice to this fact, if you still have any questions about this form or any other related matter, please contact our Data Protection Officer using the email address or another of the communication channels mentioned at the beginning of this form.
Should be Empty:

Data Subject Rights Exercise Form

Data Subject

Holder of Parental Responsability

Order Details

Term of Confirmation and Autentication

1. If the data subject is of legal age:

2. If the data subject is a minor under the age of 16 or 18:

A. Data Subject

B. Holder of parental responsibility and applicant here: