FREE POPIA TOOLKIT
SUPPORTING TEMPLATE
Data Subject Rights Form
1. Personal Information
- Full Name: [Insert Full Name]
- Contact Information: [Insert Contact Information]
- Identification Number (ID)/Passport Number: [Insert ID/Passport Number]
- Date of Birth: [Insert Date of Birth]
- Address: [Insert Address]
- Email Address: [Insert Email Address]
- Phone Number: [Insert Phone Number]
2. Request Details
Please select the data subject rights you wish to exercise:
[ ] Right to access personal information: Request to access personal information held by the organization.
[ ] Right to data portability: Request to receive personal information in a structured, commonly used, and machine-readable format.
[ ] Right to erasure: Request to delete or remove personal information held by the organization.
[ ] Right to rectification: Request to correct or update inaccurate or incomplete personal information.
[ ] Other (please specify): [Insert Details]
3. Additional Information
Please provide any additional information or details relevant to your request:
[Insert Additional Information]
4. Verification
To ensure the security and confidentiality of your personal information, we may need to verify your identity before processing your request. Please provide the following information for verification purposes:
- Copy of ID/Passport
- Proof of Address
- Any other relevant documents
5. Signature
By signing below, I acknowledge that I have read and understood the contents of this Data Subject Rights Form and confirm my request for the specified data subject rights.
Signature: ________________________________
Date: ________________________________
This Data Subject Rights Form is designed to facilitate requests from individuals exercising their data subject rights under data protection regulations. It allows individuals to specify the rights they wish to exercise, provide additional information if necessary, and includes a section for identity verification to ensure compliance with data protection requirements.
