REQUEST TO EXERCISE RIGHTS
under the General Data Protection Regulation (GDPR)

To COLDY DENT Functional Atelier
city of Sofia, Manastirski Livadi residential
area,
Street 2, Bulgarska legia Str.
Phone: +359 89 659 3939
e-mail: office@coldydent.com

1. Person submitting the request:
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/please, indicate two names/
2. Contact details (e-mail, phone)
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3. In connection with the processing of the following personal data
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/please, specify what data and how they were provided/
/filling in this field is optional/
4. Hereby, I exercise my right:
☐to receive information about my personal data stored with you, the purposes for and the bases
on which they are processed, and the third parties to which they are provided;
☐to have my personal data processed by you rectified
☐to have my personal data processed by you erased
☐to discontinue the processing of my personal data stored with you
☐to be provided with my personal data stored with you in a machine-readable format
☐to object to the processing of my personal data stored with you for the purposes of your
legitimate interests
5. Clarifications
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When completing this form, please pay attention to the instructions attached to it. We can
also help you complete the form, and, if necessary, we will request additional information
using the contact details provided by you.

Signature: ………………………….