Please complete the data and information, print, sign and submit your request to:

REDSYS SERVICIOS DE PROCESAMIENTO, S.L.
For the attention of Data Protection Representative

c/ Francisco Sancha 12; 28034 Madrid
dpd@redsys.es

1)	APPLICANT DETAILS (complete the fields marked with *):

*	Name and surnames:
*	ID Card/ NIE (Foreign Citizens Id No.) / Passport:
*Postal Address:
*E-Mail Address:
*	Address for notification purposes (Choose between Postal Address or Email Address):

If the applicant is a minor or incapacitated person or exercises the right through a voluntary representative, DETAILS  OF THE REPRESENTATIVE:

*	Name and surnames:
*	ID Card/ NIE (Foreign Citizens Id No.) / Passport:
*Postal Address:
*E-Mail Address:
*	Address for notification purposes (Choose between Postal Address or Email Address):

2)	REQUESTS (check one of the options listed below):

To be given, within a maximum period of one month, the personal data that concern me, provided to Redsys, in a structured format of common used and mechanical reading.

That, in case it is technically possible, personal data are transmitted directly from Redsys to the person in charge indicated in section 3 below.

That the two previous options are carried out, delivering, within a maximum period of one month, the personal data that concern me, provided to Redsys, in a format of common use and mechanical reading, and that such data is also sent to the person in charge indicated in section 3 below, when technically possible.

3)	DATA AND / OR TREATMENTS TO WHICH YOUR APPLICATION REFERS AND THE PERSON IN CHARGE FOR THE TREATMENT TO WHOM YOU WANT TO PERFORM THE PORTABILITY:

4)	DOCUMENTATION PROVIDED (mark as appropriate):

	Photocopy of ID card / NIE (Foreign Citizens Id No.) / Passport	
	Document accrediting the representation	
	Other: (specify)	

5)	REMARKS AND ADDITIONAL COMMENTS:

In	_ on		, 20    _ Signed:........................................................................................

INSTRUCTIONS FOR THE COMPLETION OF THE FORM FOR THE EXERCISE OF THE RIGHT TO THE PORTABILITY OF DATA

1.	The interested party will have the right to receive the personal data concerning him/her,   which was provided  to  Redsys,  in  a  structured  format,  of  common  use  and mechanical reading, and to transmit them to another person responsible for the treatment without being prevented by Redsys, when:
a.	the treatment is based on consent, or on a contract, and
b.	the treatment is carried out by automated means.
When exercising its right to the portability of the data in accordance with the previous section, the interested party will have the right to have the personal data transmitted directly from responsible to responsible when technically possible.
The exercise of the right mentioned in section 1 of this section will be without prejudice to the exercise of the right of withdrawal. Such right will not be applied to the treatment necessary for the fulfilment of a mission performed in the public interest or in the exercise of public powers conferred on the person in charge of treatment.

PUBLIC USE

2.	 It is necessary to provide a photocopy of the ID card or equivalent document that proves the
identity and is considered valid by law, so that the person responsible for the treatment
can perform the timely check. In case of acting through legal or voluntary representation, it must be also provided an ID document and a document accrediting the representation of the representative. Notwithstanding the foregoing, when Redsys has reasonable doubts regarding the identity of the person applying, it may be requested the additional informatio

n necessary to confirm the identity of the interested party.

3.	The deadline for answering requests, which is a maximum of one month from receipt, may be extended for another two months if necessary, taking into account the complexity and the number of applications received. Redsys will inform the applicant of any such extension within one month of receipt of the request, indicating the reasons for the delay.

4.	When the applicant submits the application by electronic means, the information will be provided by electronic means in a commonly used format where possible, unless the applicant indicates that it is otherwise provided.

5.	In the event that Redsys does not comply with the request made through this form, it will inform you without delay, and no later than one month after receipt of the request, on the reasons for not acting and the possibility of submitting a claim, before the supervisory authority (in the case of Spain, before the Spanish Agency for Data Protection) and to bring legal actions.

6.	The information provided, as well as any communication and any request exercised in accordance with current regulations on data protection will be free of charge. When the requests are manifestly unfounded or excessive, especially due to their repetitive nature, Redsys may:

a.	Charge a reasonable fee depending on the administrative costs incurred to facilitate the information or communication or perform the requested action, or
b.	Refuse to act on the request.