DSRR Form

Name and First name *

Date of Birth *

Email *

My relationship with Capgemini

Type of Information

Period data held

Capgemini departments holding the information

Location of Capgemini departments which collected my personal data

Obtain the information whether personal data of mine is being processed;

Access my personal data and to obtain the following information:

a. the purposes of the processing of my personal data;

b. the categories of my personal data which are processed;

c. the (categories of) recipient to whom my personal data have been or will be disclosed;

d. where possible, the period for which my personal data will be stored, or, if not possible, the criteria used to determine that period;

e. Any available information as to the source of my personal data you are processing, if this was not collected from myself;

f. the existence of automated decision-making, including profiling you are using;

g. if my personal data is transferred to another country and if appropriate safeguards are taken relating to this transfer.

I wish to receive a copy of my personal data (Please specify)

Rectification of my personal data

I have the right to obtain from Capgemini the rectification of inaccurate personal data concerning myself or to have incomplete personal data completed

Describe here the personal data you want to be corrected or completed

Erasure of my personal data

I ask Capgemini to erase all my personal data for the following reason:

I ask Capgemini to erase only specific personal data:

Restriction of processing of my personal data

I have the right to obtain from Capgemini restriction of processing because

a. the accuracy of the personal data is contested by me and I want to exercise the right to restriction of processing for a period enabling the controller to verify the accuracy of the personal data;

b. the processing is unlawful, I request the full restriction of use of my personal data. My personal data will not be deleted, however;

c. Capgemini as controller no longer needs the personal data for the purposes of the processing, but they are required by me for the establishment, exercise or defence of legal claims;

d. I have objected to processing and pending the verification whether the legitimate grounds of Capgemini override those of mine. The processing of my data should therefore be restricted.

Portability of my personal data

I have the right to receive my personal data, which I have provided to Capgemini, in a structured, commonly used and machine-readable format and have the right to transmit or ask to transmit those data to another controller without hindrance from Capgemini.

I want my personal data to be sent to myself.

I want my personal data to be sent to another controller

Right to object

I have the right to object, on grounds relating to my particular situation, at any time to processing of my personal data.

Additional information I wish to add:

I therefore prove my identity as follows:

Capgemini DPO can contact me at my phone to verify my identity

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