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Personal Identifiable Information Deletion Form

Name * :

Registered Email*: Address *:

Country *:

State *:

Zip *:

The request is being submitted by *:
(If you are submitting this request on behalf of someone else, please specify your relationship to that person, for example: "parent", "solicitor". We may ask for documentation confirming that you are authorized to represent this person.)

Myself

A Client

A family member

Others (please specify)

Where did you create the account *

Name of the website

Name of the app

What information do you need deleted? *
(Note: You can edit/update your information by signing in to the website/app.)

Complete Data

Account Suspension (please provide details of application and account)

Message:

Sworn statements *:

Please read the following statements and check the box below to confirm that you have read and acknowledge them.

I have read and acknowledge the explanation of the processing of the personal information that I am submitting, as outlined below:

Acme United Corporation (“Website”) will use the personal information that you supply on this form (including your email address and any ID information) and any personal information that you may submit in further correspondence for the purposes of processing your request and meeting our legal obligations. We may share details of your request with data protection authorities, but only when they require these details to investigate or review a decision that we have made.

Please note that if you are signed into your Account on our Website, we may associate your submission with that account.

I acknowledge that I have taken the necessary steps to back up all data and invoices, and have settled any outstanding dues up to the current date, if applicable.

I understand that submitting this request will result in the closure of my account and termination of services, with no further access granted thereafter.

I represent that the information in this request is accurate and that I am authorized to submit this request.

I understand that Acme United Corporation will not be able to process my request if the form is not properly filled in or if the request is incomplete.

I agree.

Signature

Signed on this date: Nov 23, 2024

By typing your full name above, you are providing us with your digital signature, which is as legally binding as your physical signature. You represent that the information that you've submitted is accurate.

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