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Personal Information Request Form  
 
Fill out the form below to submit a request for access, deletion, or any other right to personal data that may be legally granted to you.
Your Full Name: *
Your Address: *
Your Contact Number: *
Your Email Address: *
Request Scope: *
 
Request Details:

Please tell us the scope of your request and any other concerns.
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Upon receipt of this form, Agrian will review your personal information request according to your or the data subject's local laws and regulations. To ensure we do not release your data to an unauthorized party, we may require additional documents to verify your identity or other claims to information. If submitting on behalf of another, we may require both verification of their information and your legal authorization to act on the data subject's behalf.