Soloinsight CloudGate

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Right to information Right of access Right to rectification Right to withdraw consent Right to object to processing Right to be forgotten Right to data portability

Disclaimer: Please note that we do not sell your data or perform automated processing including profiling or advertise your data.

I'm acting on behalf of:

My Self A Client A Family Member A customer Other

Data subject's information:

First Name

Last Name

Email (of Visit Invitation)

Cell Number (of Visit Invitation)

Location Visited

Date of Visit

Host Name

Provide data subject's scanned ID details

Scanned ID

Last 4 Digits of ID

Requestor's Information

Name

Written from of authorization by data subject ^*

Holder of parental responsibility Signed authorization by data subject Power of attorney Data controller

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Please provide detailed reason of your request: ^*

Disclaimer: Once your data is submitted, we will update you on the action taken, as early as possible but no later than 30 days. Soloinsight will use the personal information that you supplied on this form and any other information you may submit in further correspondence, for the purpose of processing this request and meeting our legal obligations. We may share detail of your request with data protection authorities, but only when they require these details.

I have read and acknowledge the explanation of processing of personal information that I am submitting. I represent that information in this request is accurate and that I am authorized to submit this request. I understand that Soloinsight will not be able to process my request if the provided information is incorrect or incomplete. I understand that Soloinsight will contact the data subject to confirm the authenticity of this request before proceeding any further.