Personal data disclosure request form - Afnic

2. Information on the domain name
Domain name *
3. Reasons for the request
Please indicate in the box below the reasons for your request, with as much details as possible and enclose corresponding
certifications and/or any document justifying your intellectual property rights 1 .
AFNIC will answer your request on the basis of the documents that you will provide and will not carry on further
investigations:
1 Company identification certificate delivered by french chambers of commerce (K-bis), extract of INSEE data base
(French companies registry), association identification certificate, identity card etc.
4. Commitment of the applicant
The applicant undertakes to not use the data for other reasons that those mentioned in this form (and/or appendixes if
needed).
5. Date and signature
The collected information is processed by AFNIC (Registry for .fr and .re domain names), in charge of the handling in
order to remove the anonymity status in good conditions according to the article 23.2 of the .fr Naming Charter. The
recipient of the information is the Legal Department of AFNIC.
According to the French Data Protection Act (January 6, 1978, amended), you benefit from an opposition right for
legitimate reasons, and from access and rectification rights of your information. If you wish to obtain your collected
information, please make a request to AFNIC, Immeuble International, 78181 Saint Quentin en Yvelines, France.
www.afnic.fr
© AFNIC 2009 - Version March 2009.