Appendix № 1

Form of withdrawal of consent for processing purposes

Your name*:
Feedback data (e-mail)*:
To 

Name	VGN SLTD
UIC/BULSTAT	202200279
Legal address and headquarters	Sofia, Vitosha District, Manastirski Livadi Housing Estate, 60А, office 3
Correspondence address	Sofia, Vitosha District, Manastirski Livadi Housing Estate, 60А, office 3
Telephone	0878 506 666
E-mail	[email protected]
Website	https://www.silabg.com

☐ I withdraw my consent to the collection, processing and storage of the following personal data I have provided:
☐ All personal data I have provided
☐ Only these data …………………………………………………………….
for the following purposes:
☐ The following purposes: …………………………………….
………………………………………………………….
☐ All purposes
☐ I declare that I am aware of the company's terms of service after the consent withdrawal.
In case of violation of your rights under the above or applicable data protection laws, you have the right to file a complaint with the Personal Data Protection Commission, as follows:

Name	Personal Data Protection Commission
Legal address and headquarters	Sofia 1592, 2, Prof. Tsvetan Lazarov Blvd.
Correspondence address	Sofia 1592, 2, Prof. Tsvetan Lazarov Blvd.
Telephone	02 915 3 518
Website	www.cpdp.bg

 
Personal signature:………………………….