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Dear {{{recipient}}},

This is a request under the General Data Protection Regulation.

Please confirm whether or not you are processing personal data (as defined by Article 4(1) and (2) GDPR) concerning me.

In case you are, I am hereby requesting access to the following information pursuant to Article 15 GDPR:
1. all personal data concerning me that you have stored;
2. the purposes of the processing;
3. the categories of personal data concerned;
4. the recipients to whom the personal data have been or will be disclosed;
5. where possible, the envisaged period for which the personal data will be stored, or, if not possible, the criteria used to determine that period;
6. where the personal data are not collected from the data subject, any available information as to their source;
7. the existence of automated decision-making, including profiling, referred to in Article 22(1) and (4) GDPR and, at least in those cases, meaningful information about the logic involved, as well as the significance and the envisaged consequences of such processing for me.

If you are transferring my personal data to a third country or an international organisation, I request to be informed about the appropriate safeguards according to Article 46 GDPR concerning the transfer.

Additionally, please make the personal data concerning me which I have provided to you (quite possibly a subset of all the data you hold about me), available to me in a structured, commonly used and machine-readable format as laid down in Article 20(1) GDPR.

As laid down in Article 12(3) GDPR, you have to provide the requested information to me without undue delay and in any event within one month of receipt of the request. According to Article 15(3) GDPR, you have to answer this request without cost to me.

My request explicitly includes {{{recipient}}}, as well as any other services and companies for which you are the controller as defined by Article 4(7) GDPR.

{{{identifiers}}}

Thank you very much.

Sincerely,

<<FIRST_NAME LAST_NAME>>