Data Subject Rights Request Form (GDPR)

Use this form to exercise your rights under the General Data Protection Regulation (GDPR). Please fill out the form and send it to info@ulpian.hr or submit it in writing to our registered address.

1. Applicant Information

Full Name

Email Address

Phone (optional)

Address (optional)

Relationship with organization (if applicable):

Customer Employee / Former employee Website user Other

2. Right You Wish to Exercise

Please select the right you wish to exercise in accordance with the GDPR:

Right of access
I request confirmation whether my personal data is being processed and access to my personal data. Right to rectification
I request the correction of inaccurate or the supplementation of incomplete personal data relating to me. Right to erasure ("right to be forgotten")
I request the deletion of my personal data, if the conditions are met. Right to restriction of processing
I request the restriction of processing of my personal data. Right to data portability
I request that my personal data be provided in a structured, commonly used and machine-readable format. Right to object
I object to the processing of my personal data. Withdrawal of consent
I withdraw my consent for the processing of my personal data.

3. Additional Information (optional)

4. Identity Verification

To protect personal data, we may request additional information to verify your identity before processing this request.

5. Declaration

I confirm that the information provided in this request is accurate and that I am the data subject or a person authorised to submit the request on behalf of the data subject.

Signature

Date

Send the completed form to:

info@ulpian.hr