Personal Data Access, Rectification and Erasure Request Form

You are entitled to request us to access, erase or anonymize any personal data we hold about you under EU General Data Protection Regulation (GDPR).

We will do our best to respond and complete the request within a reasonable time of:

Our receipt of your request; or
Our receipt of any further information we may ask you to provide to enable us to comply with your request, whichever happens to be later.

The information you supply in this form will only be used for the purposes of identifying the personal data you are requesting that we erase / anonymize and responding to your request. You are not obliged to complete this form to make a request but doing so will make it easier for us to process your request efficiently. We will reach out to you with next steps after the submission of this form.

Your Contact Information:

Your Name *

Type of User *

Email Address *

Additional Email Addresses Affiliated With the Account

Phone Number

Describe Your Request:
Please include as much information as possible to help us identify your account in the box below:
Examples include (Applicant for Nursing during 2015-2016 cycle, provided references for Pharmacy students in 2019, etc.) *

Are You The Data Subject? *

If No: Please provide additional information

Your Full Name *

Your Email Address *

Your Relationship To The Data Subject *

The processing of this request is free of charge, but we reserve the right, as allowed under GDPR Article 12 (5), to charge an administrative fee under certain circumstances.

Please note that we may refuse to act, as allowed under GDPR Article 12 (2) and 12 (5), on requests that are insufficiently substantiated, unfounded or excessive.