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Access request form

Data subject access request form
You have the right to request the personal data we may hold about you. This is called a Data Subject Access Request ("DSAR"). A data subject is an individual who is the subject of personal data. If you wish to make a DSAR, please complete this form. For more information: see our privacy policy.

1. Is this request being made for yourself or for another person for whom you are the legal representative?

Person concerned
Title:
Name:
Proof of identity:
Legal representative
Title:
Name:
Role :
Parent
Legal guardian
Lawyer
Proof of identity:(mandate, letter of authorisation, parent ID)

2. Preferred means of communication

Postal address:
E-mail address:

3. Type of request

Withdrawal of consent
Request for access to personal data
Rectification of personal data
Deletion of personal data
Restrictions on the processing of personal data
Request for portability of personal data
Opposition to the processing of personal data
Request concerning automated decision-making and profiling

4. Description of the personal data involved

5. Indicate the period covered by your request

6. Additional description of your request

7. Describe the reason/justification for your request

You hereby confirm that the information provided in this form is correct and that you are the data subject or representative of the data subject whose name appears on this form. You understand that we must confirm proof of identity and that it may be necessary to contact you again to obtain further information in order to locate the personal data you require. You understand that your request will not be valid until all the requested information is received by our services. You also understand that although this request is free of charge, if you request the same information again or make unsubstantiated or excessive requests, we may charge a reasonable administrative fee to process your request.
You hereby confirm that you have read the privacy policy.

We will make every effort to process your Subject Data Access Request (SDAR) as quickly as possible, within 30 calendar days. However, if you have any questions while your request is being processed, please do not hesitate to contact us at this e-mail address:

Email

.

Brussels

Avenue Léonard Mommaerts 6/8, 1140 Brussels
TVA - BE - 0403.037.869

Wallonia

Rue de Genval 24, 1301 Bierges
TVA - BE - 0479.85.65.25

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