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Privacy rights request form
This form allows you to submit a request about the processing of your personal data by Utrecht University under the General Data Protection Regulation (GDPR).
First name:
*
Preposition:
Surname:
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E-mail address:
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What is your relationship to UU?
*
<Make a choice>
(former) Student
(former) Employee
Applicant
PhD candidate
Researcher
Research participant
Website visitor
Event/location visitor
Contracting party
Other, namely:
Student number (Solis ID):
Part of organization you have/had a relationship with:
<Make a choice>
Faculty of Science
Faculty of Veterinary Medicine
Faculty of Humanities
Faculty of Geosciences
Faculty of Law, Economics and Governance
Faculty of Social and Behavioural Sciences
Faculty of Medicine
University College Utrecht
University College Roosevelt
CHARM-EU
Other, namely:
Organisational unit:
Start study year:
Employee number (Solis ID):
Only applicable if Solis ID is not entered:
Address:
*
Phone number:
*
Organisational unit you have/had a relationship with:
<Make a choice>
Faculty of Science
Faculty of Veterinary Medicine
Faculty of Humanities
Faculty of Geosciences
Faculty of Law, Economics and Governance
Faculty of Social and Behavioural Sciences
Faculty of Medicine
University College Utrecht
University College Roosevelt
Communications & Marketing department
Human Resources
Student & Academic Affairs Office
Real Estate & Campus department
Finance, Control & Administration
Information and Technology Services
Centre for Science and Culture
Other, namely:
Organisational unit:
Start of employment:
dd/mm/yyyy
Where did you apply?
<Make a choice>
Faculty of Science
Faculty of Veterinary Medicine
Faculty of Humanities
Faculty of Geosciences
Faculty of Law, Economics and Governance
Faculty of Social and Behavioural Sciences
Faculty of Medicine
University College Utrecht
University College Roosevelt
Communications & Marketing department
Human Resources
Student & Academic Affairs Office
Real Estate & Campus department
Finance, Control & Administration
Information and Technology Services
Centre for Science and Culture
Other, namely:
Organisational unit:
Date of application:
dd/mm/yyyy
Organisational unit you have/had a relationship with:
<Make a choice>
Faculty of Science
Faculty of Veterinary Medicine
Faculty of Humanities
Faculty of Geosciences
Faculty of Law, Economics and Governance
Faculty of Social and Behavioural Sciences
Faculty of Medicine
University College Utrecht
University College Roosevelt
Other, namely:
Organisational unit:
Start date promotion:
dd/mm/yyyy
Start date research:
dd/mm/yyyy
Which research did you participate in?
*
Venue/Event:
University Museum
Parnassos
University Library
Event
Other, namely:
Other, namely:
Naam evenement:
Please note that only old details of you may be known to us, please bear this in mind when filling in above.
My request relates to:
*
<Make a choice>
Right of access
Right to rectification
Right to erasure (right to be forgotten)
Right to object
Right to restriction
Withdraw consent
Other, namely:
My request relates to something else, namely:
The UU may have a lot of data about you in various systems, which data exactly are you looking for? Please formulate your request as specifically and completely as possible:
*
By post
You can also send this form by post to:
Utrecht University Attn: Legal Affairs
P.O. Box 80125
3508 TC Utrecht
Obligation to provide identification
If you submit a privacy request, we need to know who you are. This is to prevent us from simply changing your details or giving them to someone other than yourself. Therefore, a Utrecht University staff member will contact you (by e-mail, letter or phone) to request additional information or a copy of your proof of identity. After your identification, your request will be processed as soon as possible.
More information on how Utrecht University handles your personal data can be found at
www.uu.nl/privacy
.
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Input is required