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Appendix № 1 Form of withdrawal of consent for processing purposes

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:………………………….
E-mail :
Password:
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