RIGHT OF RECTIFICATION FORM Your firstname (mandatory) Your lastname (mandatory) Your e-mail address (mandatory) Your ID card number (mandatory) Subject: Request for right of rectification Dear Sir or Madam, In accordance with Article 16 of the General Data Protection Regulation, I hereby wish to exercise my right to rectify my personal data, particularly with regard to the following information: Points requiring rectification: Likewise, I would like to be informed when this rectification has been made by the data controller, in accordance with Article 19 of the General Data Protection Regulation. I hereby confirm that I am the person concerned and that I agree to the collection of personal data relating to this request for right of rectification. (mandatory)