Storm Technologies Limited
Policy Title:
Data Subject Withdrawal Form
Policy No:
018
Version:
1.01
Effective Date:
16/03/18
Reviewed:
January 2020
Owner:
Data Protection Officer
1.1
I, [data subject name], withdraw my consent to process my personal data from Organisation Name. Organisation Name no longer has my consent to process my personal data for the purpose of [specify legitimate reason of processing personal data], which was previously granted.
Signed by data subject:
Date: Request actioned: Data Protection Officer / GDPR Owner
Date:
The Data Protection Officer is the owner of this document and is responsible for ensuring that this procedure is reviewed in line with the review requirements of the EU GDPR. A current version of this document is available to all members of staff on the company Intranet. This work instruction was approved by the Data Protection Officer / GDPR Owner on [date] and is issued on a version controlled basis under his/her signature
Signature:
March 2018 ST018_v1
Date: