Personal Information Removal Request Form [DoctorOnCall]

Request edit access

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For privacy reasons, you may have the right to ask for certain personal information relating to you to be removed.

When you make your request, we will balance the privacy rights of the individual concerned with the interest of the general public in having access to the information, as well as the right of others to distribute the information. For example, we may decline to remove certain information about financial scams, professional malpractice, criminal convictions, or public conduct of government officials.

Full Legal Name

Your own name, even if you are making the request on behalf of someone else who you are authorized to represent. If you are representing someone else, you must have the legal authority to act on their behalf.

Contact Email Address *

I am acting on behalf of *

Myself

A client

A family member

A friend

Other:

Reason for removal *

You feel your personal data is no longer necessary for the purpose for which originally collected it.

You no longer consent to our processing of your personal data

You object to our processing of your personal data as is your right under Article 21 of GDPR

You feel your personal data has been unlawfully processed

You feel we are subject to a legal obligation of the EU or Member State that requires the erasure of your personal data

You are a child, you represent a child, or you were a child at the time of the data processing and you feel your personal data was used to offer you information society services

Other:

Required

To ensure it is the right person we require you to provide us with the proof of your identity. Please supply us with the scanned image. (Proof of Identity, Proof of Address). Please send the proof of your identity to contact@doctoroncall.com.my from the same email registered with DoctorOnCall? *

Yes

Required

What information do you wish to erase? Please describe the information you wish to erase. Please provide any relevant details. *

Declaration : Please note that any attempt to mislead may result in prosecution. Sign below by typing your full name. You are providing us with your digital signature, which is as legally binding as your physical signature. Please note that your signature must exactly match the first and last names that you entered at the top of this web form in order for your submission to be successful. *

I confirm that I have read and understood the terms of this subject access form and certify that this information given in the application. I understand that it is necessary for DoctoronCall to confirm data identity and it may be necessary to obtain more detailed information in order to locate the correct personal data.

Signed on this date of: *

YYYY

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