Request to Delete Personal Data

HRDLIČKA, Ltd.
Za Lužinami 1084/33
Prague 5, ZIP Code 155 00

Subject: REQUEST TO DELETE PERSONAL DATA

I, the undersigned

………………………………………………………………………, born ……………………….., residing at: ………………………………………………………………………

hereby, in accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council on the protection of natural persons
with regard to the processing of personal data and on the free movement of such data, and repealing Directive
95/46/EC (hereinafter referred to as the “General Data Protection Regulation”),
hereby request that HRDLIČKA spol. s r.o., ID No. 186 01 227, with its registered office at náměstí Kněžny Ludmily 45, Tetín, postal code 266 01,
registered in the Commercial Register maintained by the Municipal Court in Prague, Section C, File No. 4062 (hereinafter referred to as the “Controller”),

• Mailing address: Za Lužinami 1084/33, Prague 5, ZIP Code 155 00
• Company website: hrdlicka.cz
• Phone: +420 235 521 822-5
• Email address: info@hrdlicka.cz

In accordance with Article 17 of the General Data Protection Regulation, I have requested that all personal data concerning me and processed by the controller be erased without undue delay for the following reason (select the reason below – delete as appropriate):

• the personal data is no longer necessary for the purpose for which it was collected or processed /
• I have withdrawn my consent to the processing of my personal data, and there is no other legal basis for the processing /
• I filed an objection to the processing, which was justified /
• personal data was processed unlawfully /
• The controller is required to erase personal data in accordance with applicable Union or Member State law,
  
  specifically……………………………………………………………………………………

In accordance with Article 17(2) of the General Data Protection Regulation, I further request that the Controller take all reasonable steps and technical measures to ensure that my right to be forgotten is exercised.
At the same time, I request that you provide me with information regarding the measures taken within the timeframe specified in Article 12(3) of the General Data Protection Regulation, in writing to the address listed above / via email:

………………………………………………..

In ……………………………….. on ……………………

…….………………………………………………..
signature

The document is available for download HERE.