EmailMe Form - Open Access BPO - Data Subject Request Form

I. DATA SUBJECT INFORMATION

Select as applicable *

Data Subject Name *

First Middle Last

Contact Number *

Email *

Proof of Identify *

Please upload the requirements as indicated below:

Former employee: Any valid government ID with photo and proof of employment

Applicant/Visitor/Guest/Prospective Client/Client/Vendor/Supplier: Any valid government ID with photo

Foreign National: Passport

We will request proof of identity to ensure that we will be sending information to the data subject or authorized representatives and not to any third party that has not been authorized. If none of these are available, you may contact us at dataprivacy_compliance@openaccessbpo.com for advice on other acceptable forms of identification.

For Former Employees, kindly provide additional details below:

Program/Department

Designation

Immediate Head

Date hired

Separation Date

For Data Subject Representatives, kindly provide additional details below:

Representative Name

First Middle Last

Contact Number

Email

Occupation

Relationship

Proof of identity:

Please upload the requirements as indicated below:

Data Subject Representative: Notarized Special Power of Attorney and any valid government ID with photo

We will request proof of identity to ensure that we will be sending information to the authorized representatives and not to any third party that has not been authorized by the data subject. If none of these are available, you may contact us at dataprivacy_compliance@openaccessbpo.com for advice on other acceptable forms of identification.

III. DETAILS OF THE REQUEST

Type of Request

Please provide details based on the type of request. *

Please select applicable justification: *

If you selected others, kindly provide additional information:

IV. DECLARATION

I hereby declare that the information provided is true, correct, and complete statement of the information contained herein which is subject to validation. I authorize Open Access BPO to verify/validate the contents stated herein.

I understand that there may be circumstances that Open Access BPO may not be able to fully grant all the requests where we have a legal and/or contractual obligations, it is used for freedom of expression, for public health purposes, historical research or statistical purposes where deleting the data would make it difficult or impossible to achieve the objectives of the processing, or it is necessary for legal claims.

I also understand that while this request is free of charge, Open Access BPO may charge a reasonable administrative fee to process my request. My request may be refused if it is manifestly unfounded or excessive (e.g. intent is of malicious intent, it overlaps with other requests, it repeats the substance of previous requests, etc.). *

By clicking this box and the submit button below, I confirm that the information provided is true and correct.

I further agree to and accept the terms and conditions governing this request. I understand that any incorrect, false, or incomplete information may result in the delay or non-approval of this request.