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Data Protection Request Form

3-101-940805 Sociedad Anónima

Address:
Provincia 01 San José, Cantón 08 Goicoechea, Calle Blancos, Montelimar, de la Bomba Montelimar, cien metros al norte y setenta y cinco al este, Casa 1151. San Jose, Costa Rica.

Data Controller Contact:
Ivonne Montealegre
📧 ivonnemontealegre@gmail.com

Purpose of this Form

This form allows you to exercise your rights under applicable data protection laws regarding the personal data held by 3-101-940805 Sociedad Anónima.

Your Rights

  • Access to your personal data
  • Rectification (correction) of inaccurate data
  • Erasure of your personal data
  • Restriction of processing
  • Data portability
  • Objection to processing

Your Details

Full Name:

ID / Passport Number:

Email Address:

Phone Number:
Type of Request

Access to my personal data
Rectification of my data
Erasure of my data
Restriction of processing
Data portability request

Signature

Date:

Instructions

  • Complete this form and send it by email to: ivonnemontealegre@gmail.com
  • You may be asked to provide proof of identity before your request is processed.
  • We will respond within the time limits established by law.

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