Data Subjects’ Request Form

You have the right to request the execution of the rights attributed by articles 12 to 22 of the GDPR regarding the personal data we may hold about you. This type of request is called a "Data Subject Request" ("DSR"). If you wish to make a DSR, please fill in this form.

"Data Subject": natural identifiable person whose personal data is subject of the requested right

1. DATA SUBJECT'S FULL NAME
3. DATA SUBJECT'S CURRENT ADDRESS OF RESIDENCE
Country
Phone number:
5. WHICH RIGHT(S) WOULD YOU LIKE TO EXERCISE?
If you wish to change the personal data related to your account, you can do so on the Road User Portal (http://rup.satellic.be/), under 'MY ACCOUNT' and 'Manage Account'
If we do not receive sufficient information to locate the data you are requesting or the data relating to which you want to exercise your right(s), we may not be able to comply with your request. 
7. ARE YOU THE DATA SUBJECT (NATURAL IDENTIFIABLE PERSON WHOSE PERSONAL DATA IS SUBJECT OF THE REQUESTED RIGHT) OR ARE YOU HER/HIS REPRESENTATIVE?
8. I CONFIRM THAT I AM THE DATA SUBJECT

 
Maximum 8 files.
16 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
 
8. THE DATA SUBJECT MUST GIVE YOU AN AUTHORISATION TO BE HER/HIS AUTHORISED REPRESENTATIVE BY FILLING IN THIS SECTION. AS THE DATA SUBJECT, I HEREBY GIVE MY AUTHORISATION TO THE FOLLOWING PERSON (AUTHORISED REPRESENTATIVE) TO EXERCISE MY RIGHTS REGARDING THE PERSONAL DATA EXPRESSED IN THIS REQUEST:
Name of the Data Subject giving the authorisation:

 
Maximum 8 files.
16 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
 
9. I CONFIRM THAT I AM AN AUTHORISED REPRESENTATIVE OF THE DATA SUBJECT AND I FILL IN MY NAME AND E-MAIL ADDRESS:

 
Maximum 8 files.
16 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
 

We will make every effort to process your Data Subject’s Request as quickly as possible and reply to you within 30 calendar days. However, if you have any queries whilst your request is being processed, please do not hesitate to contact us at the following address: dataprivacy@satellic.be