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Objection To Processing Form

The document is a Personal Data Processing Objection Form that allows individuals to formally object to the processing of their personal data by a controller. It requires the data subject's contact information, details of the objection, and a declaration acknowledging the potential consequences of the objection. The form includes specific reasons for objection and a space for the signature and date.

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لنا محمود ملكاوي
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4 views1 page

Objection To Processing Form

The document is a Personal Data Processing Objection Form that allows individuals to formally object to the processing of their personal data by a controller. It requires the data subject's contact information, details of the objection, and a declaration acknowledging the potential consequences of the objection. The form includes specific reasons for objection and a space for the signature and date.

Uploaded by

لنا محمود ملكاوي
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Controller Logo

Controller Contact Information: Name of Controller – Phone Number

Personal Data Processing Objection Form

1. Data of the data subject Objection or their Authorized Representative


 Full Name:
 E-mail Address
 Phone Number
 Residential Address (optional, if required for verification).
 Any other identifiers that may be linked to your data with us (e.g.: customer
account number, user Id, etc.).

2. Objection Details
 Please specify the purposes or type of processing you are objecting to (be as specific as
possible).
Please check (✔) the appropriate boxes below:

Objection to processing and profiling (not necessary for achieving the purposes for
which the data was collected.

Excessive processing beyond what is required.

Processing and profiling are discriminatory or unfair.

Processing is in violation of the provisions of the law, regulations, and instructions


issued pursuant to it.

3. Declaration and Signature


 I acknowledge that I understand that [Name of the Controller] will review my
request and will cease processing my data for the purposes to which I have
objected, unless there is a lawful and legitimate basis to continue the processing.
 I understand that the objection may have certain consequences, such as the
inability to benefit from specific services or features that require data processing
for the purposes I have objected to.

Name of the data subject or their authorized representative:

Sign: _____________________

Date: __/__/________________

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