Personal data disclosure request form - Afnic
Personal data disclosure request form - Afnic
Personal data disclosure request form - Afnic
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<strong>Personal</strong> <strong>data</strong> <strong>disclosure</strong> <strong>request</strong> <strong>form</strong><br />
(AFNIC <strong>form</strong>)<br />
To send back to:<br />
AFNIC<br />
Service Juridique<br />
Immeuble International<br />
78181 Saint Quentin en Yvelines<br />
France<br />
This <strong>form</strong> will allow you to ask AFNIC to remove the anonymity status of an individual holding a .fr domain name<br />
registered with restricted publication.<br />
AFNIC will study your <strong>request</strong> with regard to the in<strong>form</strong>ation you are providing, as soon as possible and will disclose the<br />
<strong>data</strong> in case of identical or similar to:<br />
• Trademark already registered protected in France<br />
• Already existing name or style of a company protected in France<br />
• Already existing trade name or signboard registred in France<br />
• Already existing title protected by French intellectual property rights (copyrights)<br />
• Surname or pseudonym<br />
AFNIC analysis will be essentially based on sign similarities.<br />
In case of refusal, the other procedures intended by AFNIC’s naming Charter (obtaining a summary order injunction by a<br />
judge or submit a case with the empowered Alternative Dispute Resolution Bodies) can be applied.<br />
*Mandatory fields.<br />
1. In<strong>form</strong>ation on the applicant<br />
Name (Company) *<br />
Name of the contact person *<br />
Address *<br />
(Street, City, Zip Code, Country)<br />
E-mail address *<br />
Phone number *<br />
Fax number<br />
www.afnic.fr
2. In<strong>form</strong>ation on the domain name<br />
Domain name *<br />
3. Reasons for the <strong>request</strong><br />
Please indicate in the box below the reasons for your <strong>request</strong>, with as much details as possible and enclose corresponding<br />
certifications and/or any document justifying your intellectual property rights 1 .<br />
AFNIC will answer your <strong>request</strong> on the basis of the documents that you will provide and will not carry on further<br />
investigations:<br />
1 Company identification certificate delivered by french chambers of commerce (K-bis), extract of INSEE <strong>data</strong> base<br />
(French companies registry), association identification certificate, identity card etc.<br />
4. Commitment of the applicant<br />
The applicant undertakes to not use the <strong>data</strong> for other reasons that those mentioned in this <strong>form</strong> (and/or appendixes if<br />
needed).<br />
5. Date and signature<br />
The collected in<strong>form</strong>ation is processed by AFNIC (Registry for .fr and .re domain names), in charge of the handling in<br />
order to remove the anonymity status in good conditions according to the article 23.2 of the .fr Naming Charter. The<br />
recipient of the in<strong>form</strong>ation is the Legal Department of AFNIC.<br />
According to the French Data Protection Act (January 6, 1978, amended), you benefit from an opposition right for<br />
legitimate reasons, and from access and rectification rights of your in<strong>form</strong>ation. If you wish to obtain your collected<br />
in<strong>form</strong>ation, please make a <strong>request</strong> to AFNIC, Immeuble International, 78181 Saint Quentin en Yvelines, France.<br />
www.afnic.fr<br />
© AFNIC 2009 - Version March 2009.