Personal Details Form

Purpose of my request *

Please utilise this form for any request concerning the exertion of your rights as guaranteed by the European General Data Protection Regulation. The identification details harvested via this form are needed to process your request and will only be used to this end; under no circumstance will they be used for commercial purposes. They are destined only to authorised Fedasil personnel and to the person responsible for the file relative to your request. The details will be stored for a maximum of 2 months. You will have the right to inspect and rectify these details, if applicable, via the current form.

What is your request? *

I'm submitting this request for:

A third person who I legally represent

Please clarify via the above whether your request concerns your personal details or those of a third person for whom you are legally responsible (for example as legal counsel, guardian, provisional administrator).

My details

First name *

Last name *

Street and number *

ZIP code *

City *

Email *

Phone

Legal mention *

I have read and accept the processing conditions for my personal data in acoordance with the Privacy Policy (n.r. www.fedasil.be)