Data Subject Access Request Form

Please fill in the information below and email to socialconscious.afti@gmail.com The website administrator or data protection officer will be notified of your request within 24 hours, and will need an appropriate amount of time to respond.

Website  ________________________________

Your Name  ______________________________

What email address do you use to access the above website? ______________________

You are submitting this request as

       ___     The person, or the parent / guardian of the person, whose name appears above.

       ___     An agent authorized by the consumer to make this request on their behalf.

Under the rights of which law are you making this request?  e.g. CCPA ___________________________

I am submitting a request to

____   Know what information is being collected from me

____   Have my information deleted

____   Opt out of having my data sold to third parties

____   Opt in to the sale of my personal data

____   Other (please specify below)

Please leave details regarding your action request or question.

_________________________________________________________________

Enter your name  ____________________________________________

Enter your email address  _______________________________________

I confirm that:

Please leave details regarding your action request or question.

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Under penalty of perjury,

___   I declare all the above information to be true and accurate.

___   I understand that the deletion or restriction of my personal data is irreversible and
may result in the termination of services with My Great New Website / App.

___   I understand that I will be required to validate my request by email, and I may be
contacted in order to complete the request.