Access Request Form – Coinut Forms

Access Request Form

I. Request to Access Personal Data

Under the Personal Data Protection Act 2012 (PDPA), you can ask for personal data records that Coinut holds, shares or uses about you. Such records will be provided to you via email. For security reasons, in order to deal with your request, we may require you to provide, via email, proof of identity and enough information to enable us to locate the personal data that you request.

Name of Requestor (Full Name): *

Contact Number: *

Coinut Username or Registered Email Address *

Please check the applicable option:

I am a Coinut customer
Job Applicant

Upload Your NRIC or Passport *

Click or drag files to this area to upload. You can upload up to 5 files.

II. Description of the Personal Data Requested

To enable us to process your access request quickly and efficiently, please provide us with as much information as possible about the personal data you are requesting access to (e.g. type of personal data, purpose, etc.)

III. Declaration

I confirm that the information provided in this form is correct and that I am the data subject whose name appears in this form. I understand that my request will not be valid until I have provided proof of identity, enough information to locate the personal data I want, and where applicable, the administrative fees required by Coinut.

Date

Signature *