Data Subject Consent Withdrawal Form

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1.1 I withdraw my consent to process my personal data from Beaverswood. Beaverswood no longer has my consent to process my personal data for the “purpose of processing for the performance of a contract to which the data subject is party or in order to take steps at the request of the data subject prior to entering into a contract”, which was previously granted.
Company Name*
Name Of Data Subject*
Email*
Date*
MM
DD
YYYY
The following to be filled in by Beaverswood: Request Actioned
Request Actioned
Data Protection Officer / GDPR Owner
Date
MM
DD
YYYY
The Manager/Executive (generic/line) 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 shared drive.
This work instruction was approved by the Data Protection Officer / GDPR Owner on 15/05/2018 and is issued on a version controlled basis under his/her signature.
Signature: Jim Roberts Date: 22/05/18