REQUEST FOR ACCESS TO RECORD OF A PRIVATE BODY
Dear Requester,
Data Protection Officer
This is a copy of your personal information access request you recently made with our organisation.
Particulars of the Responsible Party from whom you are requesting access:
Details of the right/s you wish to exercise:
Individuals have the right to request access to information about them that we hold. They also have the right to object to processing of personal information that is likely to cause, or is causing, damage or distress, the right to prevent processing for the purpose of direct marketing, the right to object to decisions being taken by automated means and, in certain circumstances, have inaccurate personal information rectified, blocked, erased or destroyed. They also have the right to lodge a complaint with a Regulator
Access (Form C)
If you want to more than just confirm whether or not we hold your personal information, it will help us process your request more easily if you are able to provide additional information below such as:
Full particulars of the record to which access is requested, including the reference number if that is known to you
If you qualify for exemption of the payment of any fee in respect of your request, please state the reason for exemption
If the record is in written or printed form, whether you want a copy of the record or wish to inspect the record If the record consists of visual images, whether you want to view the images, a copy of the images or a transcription of the images
If the record is held on computer or in an electronic or machine-readable form, whether you want a printed copy of the record, a printed copy of information derived from the record or a copy in computer-readable form
If the record consists of recorded words or information which can be reproduced in sound, whether you want to listen to the soundtrack or want a transcription of the soundtrack
If you requested a copy or transcription of a record, indicate if you wish the copy or transcription to be posted to you and also note that postage will be payable. Indicate whether a disability requires you to access the record in some other format.
Objection (Form 1)
In terms of Section 11(1), (d to f) of the Protection of Personal Information Act, I would like to raise an objection to the processing of my personal information. Please find all the necessary details below.
Correction (Form 2)
I would like to make corrections to or delete certain of my personal information which is in your possession or under your control. Please find below, details of the personal information that must be corrected or deleted as well as the reasons why this request is being made.
Deletion (Form 2)
I would like to delete certain RECORDS of my personal information which is in your possession or under your control and that you are no longer authorised to retain. Please find below, details of the RECORDS that must be deleted as well as the reasons why this request is being made.
Particulars of the person making the request
Particulars of the person on whose behalf the request is made
This section must be completed ONLY if a request is being made on behalf of another person.
Describe briefly, why you are making the request on the person’s behalf. Do not include sensitive information.
Person’s relationship with our organisation
Our response to your request
How would you prefer our response and any information to be presented to you?
Orally In writing Via email Other Specify other
Fees
Depending on the type of request and the number of records requested, we may charge certain fees to service the request. Please contact us directly should you have any query with regards to fees. Where requests from a data subject are manifestly unfounded or excessive, in particular because of their repetitive character, the Responsible Party may either charge a reasonable fee taking into account the administrative costs of providing
The information or communication or taking the action requested; or refuse to act on the request. The Responsible Party shall bear the burden of demonstrating the manifestly unfounded or excessive character of the request.
Signed at _________________________
This day _______, month _______, year _______
Signature of the Requester _________________________
Email this form to info@biznify.co.za
Biznify (Pty) Ltd. Phone SA: +27 64 903 1409. Address : 42 Kingfisher Avenue, Helikonpark 1759 Director: Fanus Kruger. Registration no : 2023/236986/07. Vat Registration no : 4860315706. Website : www.biznify.co.za email : info@biznify.co.za
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