Data Subject Request Form

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Welcome to the dLocal Privacy Request Form. This form is intended for data subjects seeking to exercise applicable data privacy rights.

If you need support for issues related to a purchase you made or any issues related to the payment processing, please do not use this form but instead, email direct@dlocal.com so that you can address your request to the correct Operations Support team.

I. Requestor Full Name *

II. Requestor Email *

III. How did you interact with dLocal? *

I am a current employee/ past employee / job applicant

I am a dLocal’s customer which is using or has enquired about dLocal’s services

I made a payment using dLocal

I receive marketing communications from dLocal

I am service provider of dLocal

Other:

IV. Requests Made on a Data Subject’s Behalf.
Please provide below (a) Authorized person’s full name and email address; (b) Data Subject’s full name and email address.

VI. Information requested *

Right of access

Right to erasure

Right of rectification

Other:

Required

VII. Signature and Acknowledgement *

I confirm that the information provided on this form is correct and that I am the person whose name appears on this form. I understand that: (1) dLocal may need to contact me again for further information; (2) my request will not be valid until dLocal receives all of the required information to process the request; and (3) I am entitled to one free copy of the personal data I have requested, and acknowledge that for any further copies I request, dLocal may charge a reasonable fee based on administrative costs.

I confirm that I am authorised to act on behalf of the data subject. I understand that dLocal must confirm my identity and my legal authority to act on the data subject’s behalf and may need to request additional verifying information.

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