Aanvragen van GDPR / AVG verwerkersovereenkomst - NILMEDIA digital agency

De taak van NILMEDIA als AVG / GDPR Data Verwerker
NILMEDIA is de Verwerker van de data die jij als Verwerkingsverantwoordelijke verzameld hebt. Daarom behoort het tot onze taak om o.a.:
- logs bij te houden van data-verwerkingen die wij doen van jouw data, zoals back-ups maken
- een inbreuk op jouw datasets, die zich op een door ons beheerd platform bevinden, aan jou (de Data Verwerkingsverantwoordelijke) te melden en jou bij te staan bij het opstellen van de melding aan de Data Subjects (hoever deze hulp gaat, kan bepaald worden in het servicepakket dat je afneemt)
- na te gaan of Sub-Verwerkers, derde partijen die wij inhuren voor dataverwerking, conform GDPR / AVG werken
Wanneer je als klant van NILMEDIA een verwerkersovereenkomst wilt ontvangen, vul dan onderstaand formulier.

Om een verwerkersovereenkomst te kunnen opmaken en afleveren heeft NILMEDIA de onderstaande gegevens van uw bedrijf nodig. Deze gegevens worden verwerkt in de verwerkersovereenkomst die je nadien kunt downloaden.
Bedrijfsnaam*
Naam*
van de rechtsgeldige vertegenwoordig(st)er
Voornaam Achternaam
Funktie*
van de rechtsgeldige vertegenwoordig(st)er
Adres*
van de maatschappelijke zetel zoals ingeschreven in het KBO of de KvK.

Straat + huisnummer Postcode Stad Land
Geregistreerd*
- in het KBO
- bij de KvK
Nummer*
Uw klanten nummer*
U kunt uw klantennummer bij NILMEDIA terugvinden op onze factuur (voorbeeld).
Selecteer de diensten/producten waarvoor u van ons een verwerkersovereenkomst wilt ontvangen:
Services*
- Domeinnaam registratie voor Verwerkingsverantwoordelijke
- Webhosting voor Verwerkingsverantwoordelijke
- Onderhoud website / webwinkel / webapplicatie voor Verwerkingsverantwoordelijke
- Email marketing via Sendit (nieuwsbrief applicatie) in opdracht van Verwerkingsverantwoordelijke
- Het verwerken van persoons- en medische gegevens in Medicora (EMR)
- Het verwerken van persoonsgegevens via het Online Afspraken Systeem
Contactpersoon*
bij uw bedrijf/organisatie voor GDPR / AVG.
Voornaam Achternaam
E-mailadres contactpersoon*
Locatie waar vanuit deze aanvraag wordt gedaan*
Vermeldt de woonplaats/gemeente waar u zich bevindt tijdens het invullen van deze aanvraag.
Naam aanvrager*
Functie aanvrager*

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