Request Access to Personal Data

Name of Organisation

Organisation Email Address

See organisations Privacy Notice [attach link] Request

Outline the specific details of your request such as when you provided the personal data, if possible, the date and time, the person or online link or form/information was provided and for what reason. Outline the reason for your access request. Detail the timeframe in which you need this access request.

Any other information or details that will assist the Ecogenica Ltd in providing a timely response to your access request.

I am the person making this access requestI am making this Access request on behalf of another person

If making the Access request on behalf of someone else, outline the reasons (e.g. a legal practitioner representing the applicant)

Applicant

Full name (of the person making the request):

Date of Birth:

Email

Email Address:

Confirm Email Address:

Address

Street:

Street (line 2):

Street (line 3):

Town or city:

County:

Postcode:

Country:

Telephone Number:

Customer or reference number [if provided]:

Receipt of other Reference Number provided by Ecogenica Ltd:

Proof of Identity and Address

Proof of Purchase
Driver License
Passport
Receipt
Bank Account
Other