Form of withdrawal of consent to processing of personal data

IP Marynkin (AWX pro)

Address: __________

TIN __________, OGRNIP __________

E-mail: support@awx.pro

From:

[full name].

Passport series ____ No. , issued to ________, date of issue _____ ____

Registration address: __________

Contact phone number: __________

E-mail: __________

APPLICATION

withdrawal of consent to the processing of personal data

I, [full name], in accordance with Art. 9 of the Federal Law dated 27.07.2006 No. 152-FZ On personal data withdraw my consent to the processing of my personal data.

Personal Data I withdraw my consent to the processing of my personal data, provided by me to IE MA.

data provided by me to IE Marynkin (AWX pro) in connection with the use of the

service https://awx.pro/ru.

1. List of personal data, the processing of which should be stopped:

FULL NAME;

Date and place of birth;

Citizenship;

Contact details (phone number, e-mail);

Passport data (series, number, date of issue, by whom issued);

Other data related to the use of AWX pro service (including

automatically collected: IP-address, cookies, device data).

2. Requirements to the operator:

In accordance with paragraph 5 of Article 21 of the Federal Law No. 152-FZ, I request:

1. Stop processing of my personal data, including collection, storage,

clarification, transfer to third parties and other actions.

2. In case the preservation of my personal data is not required for the purposes,

stipulated by the legislation of the Russian Federation, destroy them or ensure their

destruction within 30 (thirty) days from the date of receipt of this application.

of this application.

3. Method of confirmation of revocation:

Please notify me of the cessation of processing and/or destruction of personal data

data to the specified e-mail address: __________ or postal address:

__________.

4. Acknowledgment:

I am aware that:

Withdrawal of consent does not oblige the data controller to stop processing the data if their

processing is necessary for the fulfillment of a contract or legal requirements (art. 2 para.

9 ART. 9 OF THE FEDERAL LAW NO. 152-FZ).

After withdrawal of consent, the AWX pro service may become unavailable or limited in functionality.

limited in functionality.

Date: _____ 20__.

Signature: __________