To the attention of

Azienda Agricola Madre Terra S.r.l

"AGRITURISMO LE MACINE)

Contrada Cerrano 36

64028 Silvi (THE),

P. Iva 02215160678, Cod. Fisc. 02215160678

EXERCISE OF RIGHTS REGARDING THE PROTECTION
OF PERSONAL DATA
(arts. 15-22 of the Regulation (UE) 2016/679)

The undersigned …………………………………………………… born in ………………………………. on ………………, hereby exercises the following rights pursuant to the articles. 15-22 of the Regulation (UE) 2016/679:

1. Access to personal data
(art. 15 of the Regulation (UE) 2016/679)

The undersigned (tick only the boxes that apply):

requests confirmation of whether or not there is any processing of personal data concerning them;

in case of confirmation, requests access to such data, a copy of the same, e tutte le informazioni previste alle lettere da a) a h) dell’art. 15, paragraph 1, of the Regulation (UE) 2016/679, e in particolare;

• le finalità del trattamento;

• le categorie di dati personali trattate;

• i destinatari o le categorie di destinatari a cui i dati personali sono stati o saranno comunicati, in particolare se destinatari di paesi terzi o organizzazioni internazionali;

• il periodo di conservazione dei dati personali previsto oppure, se non è possibile, i criteri utilizzati per determinare tale periodo;

• l’origine dei dati (ovvero il soggetto o la specifica fonte dalla quale essi sono stati acquisiti);

• l’esistenza di un processo decisionale automatizzato, compresa la profilazione, e le informazioni significative sulla logica utilizzata, nonché l’importanza e le conseguenze previste di tale trattamento per l’interessato.

2. Request for intervention on data
(arts. 16-18 of the Regulation (UE) 2016/679)

The undersigned requests to carry out the following operations (tick only the boxes that apply):

correction and/or updating of data (art. 16 of the Regulation (UE) 2016/679);

deletion of data (art. 17, paragraph 1, of the Regulation (UE) 2016/679), for the following reasons (specify which): at)…; b)….; c)…;

in the cases provided for in art. 17, paragraph 2, of the Regulation (UE) 2016/679, the certification that the data controller has informed other data controllers of the request of the data subject to delete links, copies or reproductions of their personal data;

restriction of processing (art. 18) for the following reasons (check the boxes of interest):

contests the accuracy of personal data;

the processing of data is unlawful;

the data are necessary for the data subject for the establishment, exercise or defense of a right in judicial proceedings;

the data subject has objected to the processing of data pursuant to art. 21, paragraph 1, of the Regulation (UE) 2016/679.

This request concerns (indicate personal data, the categories of data or the processing referred to):_____________________________________________________________________________________________________________________________________________________________________________________________________________

3.Data portability¹
(art. 20 of the Regulation (UE) 2016/679)

With reference to all personal data provided to the data controller, the undersigned requests to (tick only the boxes that apply):

receive such data in a structured format, commonly used and readable by an automatic device;

transmit directly to the following different data controller (specify the identification and contact details of the controller: ………………..):

all personal data provided to the controller;

a subset of such data.

This request concerns (indicate personal data, the categories of data or the processing referred to):

________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Opposition to processing
(art. 21, paragraph 1 of the Regulation (UE) 2016/679)

The undersigned opposes the processing of his/her personal data pursuant to Art.. 6, paragraph 1, letter e) or letter f), for the following reasons related to his/her particular situation (specify):

___________________________________________________________________________________________________________

5. Opposition to processing for direct marketing purposes
(art. 21, paragraph 2 of the Regulation (UE) 2016/679)

The undersigned opposes the processing of data carried out for the purposes of sending advertising or direct sales material or for conducting market research or commercial communication.

___________________________________________________________________________________________________________

The undersigned:

Requests to be informed, ai sensi dell’art. 12, paragraph 4 of the Regulation (UE) 2016/679, al più tardi entro un mese dal ricevimento della presente richiesta, degli eventuali motivi che impediscono al titolare di fornire le informazioni o svolgere le operazioni richieste.

Chiede, in particular, di essere informato della sussistenza di eventuali condizioni che impediscono al titolare di identificarlo come interessato, ai sensi dell’art. 11, paragraph 2, of the Regulation (UE) 2016/679.

________________________________________________________________________________

Recapito per la risposta²:

Via/Piazza
Comune Provincia Codice postale

oppure

e-mail/ PEC:

Eventuali precisazioni

Il sottoscritto precisa (fornire eventuali spiegazioni utili o indicare eventuali documenti allegati):

____________________________________________________________________________________________________________

(Luogo e data)

(Firma)

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