www.hitachivantara.com
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2600:9000:235a:b800:5:b3a5:e100:93a1
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Submitted URL: https://more-info.hitachivantara.com/Mzc1LUpPRS01NTEAAAGT_o47VfZnIL5MDbKAo33YiNpp7rP1HsPBIQEu6rB9EwjAM_GLBTCVsXA5IbT0tFAtSY3nR5E=
Effective URL: https://www.hitachivantara.com/en-us/company/legal/data-subject-access-request?mkt_tok=Mzc1LUpPRS01NTEAAAGT_o47VZlkQqcL7jZ4UEGY...
Submission: On June 28 via api from US — Scanned from DE
Effective URL: https://www.hitachivantara.com/en-us/company/legal/data-subject-access-request?mkt_tok=Mzc1LUpPRS01NTEAAAGT_o47VZlkQqcL7jZ4UEGY...
Submission: On June 28 via api from US — Scanned from DE
Form analysis 5 forms found in the DOM
GET https://www.hitachivantara.com/en-us/search
<form id="search-form-desktop" action="https://www.hitachivantara.com/en-us/search" method="get" class="search-form">
<div class="form-input-group">
<input type="search" id="search" name="search" placeholder="Search" tabindex="0">
<label for="search">Search hitachivantara.com</label>
</div>
<button role="button" type="submit" class="button btn--primary grad" aria-labelledby="search-form-desktop" tabindex="0"><span>Search</span></button>
</form>GET https://www.hitachivantara.com/en-us/search
<form id="search-form-mobile" action="https://www.hitachivantara.com/en-us/search" method="get">
<div class="form-input-group">
<input type="search" id="search-mobile" name="search" placeholder="Search hitachivantara.com" tabindex="0">
<label for="search">Search hitachivantara.com</label>
</div>
</form>POST https://stage.hitachivantara.com/bin/services/dsar
<form id="pdarForm1" class="dsar-form__tabs" method="post" accept-charset="utf-8" novalidate="novalidate" enctype="multipart/form-data" action="https://stage.hitachivantara.com/bin/services/dsar">
<div class="form-wrapper">
<div class="field-container category">
<div class="form-field clearfix">
<label for=""><strong>Your Category:</strong>
</label>
<div class="input-group space-lg-10 space-md-10 space-sm-10">
<span class="input-group-addon">
<input type="radio" name="textfield1" id="category1" value="Hitachi Vantara Current Employee">
<span>Hitachi Vantara Current Employee</span>
</span>
<span class="input-group-addon">
<input type="radio" name="textfield1" id="category2" value="Hitachi Vantara Ex-Employee">
<span>Hitachi Vantara Ex-Employee</span>
</span>
<span class="input-group-addon">
<input type="radio" name="textfield1" id="category3" value="Hitachi Vantara Current or Ex-Contractor">
<span>Hitachi Vantara Current or Ex-Contractor</span>
</span>
<span class="input-group-addon">
<input type="radio" name="textfield1" id="category4" value="Customer, Vendor, or Partner">
<span>Customer, Vendor, or Partner</span>
</span>
<span class="input-group-addon">
<input type="radio" name="textfield1" id="category5" value="Other">
<span>Other (Explain in Description Box Below)</span>
</span>
</div>
</div>
</div>
<div class="form-container-bg">
<div class="space-lg-30 space-md-20 space-sm-10"></div>
<div class="field-container">
<div class="form-field">
<textarea id="description-f1-category" name="textfield21" rows="2" class="" maxlength="2000" disabled="disabled" style="display: none;"></textarea>
<p class="info-note" style="display: none;"><span class="chars">2000</span> characters remaining.</p>
<div class="space-lg-40"></div>
</div>
</div>
<div class="field-container">
<div class="form-field">
<label for="country" class="smalltxt">Country of Origin:</label>
<div class="select-style space-lg-10 space-md-10 space-sm-10">
<select id="country" name="country" class="">
<option value="">Select Country</option>
<option value="United States">United States </option>
<option value="">--------------------</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa </option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island </option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso </option>
<option value="Burma (Myanmar)">Burma (Myanmar) </option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands </option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands </option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire </option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic </option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Faroe Islands">Faroe Islands </option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana </option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Gaza Strip">Gaza Strip</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau </option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Jan Mayen">Jan Mayen</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein </option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia </option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island </option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands"> Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn Islands">Pitcairn Islands</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena </option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia </option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone </option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands </option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa </option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan </option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom </option>
<option value="United States">United States </option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="West Bank">West Bank</option>
<option value="Western Sahara">Western Sahara </option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<p><strong>Your Full Legal Name:</strong>
</p>
<p>Your own name, even if you are making the request on behalf of someone else who you are authorized to represent. If you are representing someone else, you must have the legal authority to act on their behalf. </p>
</div>
<div class="field-container">
<div class="row">
<div class="col-md-3 col-sm-6">
<div class="form-field clearfix">
<div class="left-field">
<input id="first_name" name="first_name" maxlength="255" type="text" class="" placeholder="First Name">
</div>
</div>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-field clearfix">
<div class="left-field">
<input id="last_name" name="last_name" maxlength="255" type="text" class="" placeholder="Last Name">
</div>
</div>
</div>
</div>
</div>
<div class="field-container">
<div class="row">
<div class="col-md-6">
<div class="form-field clearfix">
<input id="email" name="email" maxlength="255" type="email" class="preferred-c__email" placeholder="Your Preferred Contact Email For This Request:">
</div>
</div>
</div>
<div class="form-field clearfix">
<p class="info-note">(Please note that if you are a current Hitachi Vantara employee, for security reasons your Hitachi Vantara email address will be used as your contact email for this request.)</p>
</div>
</div>
</div>
</div>
<div class="form-container-body">
<div class="field-container">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<h4>Request Type:</h4>
<p class="space-lg-20 space-md-10 space-sm-10"><strong>Identify the type of request you are submitting. If you have multiple request types, please submit separate forms for each request type. </strong>
</p>
<div class="radiolist pdrfRT1 form-field space-lg-10 space-md-10 space-sm-10">
<div class="customradio">
<input name="textfield2" id="requesttype1" type="radio" value="Data Access Request" class="">
<label for="requesttype1" class="">Data Access Request (Requesting a copy of personal data stored in our systems)</label>
</div>
<div class="customradio">
<input name="textfield2" id="requesttype2" type="radio" value="Right to be Forgotten Request" class="">
<label for="requesttype2" class="">Right to be Forgotten Request (Requesting personal data be removed from our systems)</label>
</div>
<div class="customradio">
<input name="textfield2" id="requesttype3" type="radio" value="Data Modification Request" class="">
<label for="requesttype3" class="">Data Modification Request</label>
</div>
<div class="customradio">
<input name="textfield2" id="requesttype4" type="radio" value="Other" class="">
<label for="requesttype4" class="">Other (Explain in Description Box Below)</label>
</div>
<div class="form-field withelement">
<p><strong>Detailed description of the personal data that is the subject of this request, and the action you request to be taken with respect to your personal data.</strong>
</p>
<p>To the best of your ability, please describe the data you are referring to in this request. Be as specific as possible.</p>
<textarea id="description" name="textfield3" rows="2" class="" maxlength="2000" disabled="disabled" placeholder="Please describe the data you are referring to in this request. Be as specific as possible"></textarea>
<p class="info-note"><span class="chars">2000</span> characters remaining.</p>
</div>
</div>
</div>
<div class="field-container ycategory" data-category="category2">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="form-field clearfix">
<div class="left-field">
<label for="textfield20"> Social Security Number or equivalent national ID number: <p class="info-note">(This information is mandatory for verification purposes and Hitachi Vantara will not be able to fulfill your request without the
required verification information.)</p>
</label>
<input id="textfield20" name="textfield20" maxlength="255" type="password" class="">
</div>
</div>
</div>
<div class="field-container ycategory" data-category="category3">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="form-field clearfix">
<div class="left-field">
<label for="govtid"> Please upload a legible image of the data subject's government-issued ID: <span style="font-weight:400;">(jpg, jpeg, png)</span>
<p class="info-note">(This documentation is mandatory for verification purposes and Hitachi Vantara will not be able to fulfill your request without the required verification documentation. Hitachi Vantara may contact you for further
information if deemed necessary to verify the validity of your request.) </p>
</label>
<input type="file" name="myfile" accept="image/jpeg, image/jpg, image/png">
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<h4>Sworn Statements</h4>
<p class="space-lg-10 space-md-10 space-sm-10"><strong>Please read the following statements, and check the boxes to confirm that you agree.</strong>
</p>
<div class="checkboxlist form-field space-lg-10 space-md-10 space-sm-10">
<div class="customchkbox">
<input type="checkbox" name="textfield4" class="sworn" id="statement1" value="No">
<label for="statement1">I consent to the processing of the personal information that I am submitting, as outlined below.</label>
</div>
<div class="customchkbox">
<input type="checkbox" name="textfield5" class="sworn" id="statement2" value="No">
<label for="statement2">Hitachi Vantara will use the personal information that you supply on this form (including your email address and any ID information) and any personal information you may submit in further correspondence for the
purposes of processing your request and meeting our legal obligations. We may share details of your request with data protection authorities, but only when they require these details to investigate or review a decision that we have
made.</label>
</div>
<div class="customchkbox">
<input type="checkbox" name="textfield6" class="sworn" id="statement3" value="No">
<label for="statement3">I represent that the information in this request is accurate and that I am authorized to submit this request.</label>
</div>
<div class="customchkbox">
<input type="checkbox" name="textfield7" class="sworn" id="statement4" value="No">
<label for="statement4">I understand that Hitachi Vantara will not be able to process my request if the form is not properly filled out or if the request is incomplete.</label>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<h4>Signature</h4>
<div class="form-field clearfix">
<div class="row">
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="signeddate" name="textfield11" maxlength="255" type="text" class="" placeholder="Signed on this date of"> <span class="helptext">MM/DD/YYYY (e.g. "12/19/2010")</span>
</div>
</div>
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="sign" name="textfield12" maxlength="255" type="text" class="" placeholder="Signature">
<span class="helptext">e.g. John Doe</span>
</div>
</div>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-20 space-md-10 space-sm-10"></div>
<p class="conditiontxt">By typing your full name above, you are providing us with your digital signature, which is as legally binding as your physical signature. Please note that your signature must exactly match the first and last names that
you entered at the top of this web form in order for your submission to be successful.</p>
</div>
<div class="form-field">
<div class="space-lg-30 space-md-20 space-sm-10"></div>
<button type="submit" class="button btn--primary grad" title="SUBMIT"> SUBMIT </button>
</div>
</div>
<input type="hidden" name="form_unique_id" value="DSARForm1">
<input type="hidden" name="textfield19" value="New Data Subject Access Request Received">
<input type="hidden" name="redirectUrl" value="https://stage.hitachivantara.com/en-us/company/legal/data-subject-access-request/data-subject-access-request-ty">
<input type="hidden" name="form_type" value="YOURSELF">
</form>POST https://stage.hitachivantara.com/bin/services/dsar
<form id="pdarForm2" class="dsar-form__tabs" role="" action="https://stage.hitachivantara.com/bin/services/dsar" method="post" accept-charset="utf-8" novalidate="novalidate" enctype="multipart/form-data">
<div class="form-wrapper">
<div class="form-container-bg">
<div class="field-container">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="form-field">
<label for="country-f2" class="smalltxt">Country of Origin:</label>
<div class="select-style">
<select id="country-f2" name="country" class="">
<option value="">Please Select</option>
<option value="United States">United States</option>
<option value="">--------------------</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma (Myanmar)">Burma (Myanmar)</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Gaza Strip">Gaza Strip</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Jan Mayen">Jan Mayen</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn Islands">Pitcairn Islands</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="West Bank">West Bank</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<p><strong>Your Full Legal Name:</strong>
</p>
<p>Your own name, even if you are making the request on behalf of someone else who you are authorized to represent. If you are representing someone else, you must have the legal authority to act on their behalf.</p>
</div>
<div class="field-container">
<div class="form-field clearfix">
<div class="row">
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="first_name-f2" name="first_name" maxlength="255" type="text" class="" placeholder="First Name">
</div>
</div>
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="last_name-f2" name="last_name" maxlength="255" type="text" class="" placeholder="Last Name">
</div>
</div>
</div>
</div>
</div>
<div class="field-container">
<div class="form-field clearfix">
<div class="row">
<div class="col-md-6">
<input id="email-f2" name="email" maxlength="255" type="email" class="" placeholder="Business Email Address">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<p><strong>I am acting on behalf of...</strong>
</p>
<div class="space-lg-20 space-md-10 space-sm-10"></div>
<div class="radiolist pdrfActing1 form-field clearfix">
<div class="customradio left-field">
<input name="textfield13" id="client" type="radio" value="A Client" class="">
<label for="client" class="">A Client</label>
</div>
<div class="customradio left-field">
<input name="textfield13" id="family" type="radio" value="A family member" class="">
<label for="family" class="">A family member</label>
</div>
<div class="customradio left-field">
<input name="textfield13" id="friend" type="radio" value="A friend" class="">
<label for="friend" class="">A friend</label>
</div>
<div class="customradio left-field">
<input name="textfield13" id="other" type="radio" value="Other" class="">
<label for="other" class="">Other</label>
</div>
<div class="left-field">
<input id="other" name="textfield14" maxlength="255" type="text" class="other_show" style="display: none;">
</div>
<div class="clearfix"></div>
</div>
</div>
<div class="field-container">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="form-field file-attached clearfix">
<input type="hidden" name="mydocnew1" value="">
<input type="hidden" name="mydocnew2" value="">
<div class="left-field">
<label for="govtid"><strong>Attachment:</strong> <span style="font-weight:400;">(jpg, jpeg, png, docx, doc)</span>
<p class="info-note">Please upload both: (1) a legible image of your government-issued ID; and (2) a legible image of valid documentation demonstrating your authority to make this request on behalf of the data subject. This documentation is
mandatory for verification purposes and Hitachi Vantara will not be able to fulfill your request without the required verification documentation. Hitachi Vantara may contact you for further information if deemed necessary to verify the
validity of your request.</p>
</label>
<div class="space-lg-10 space-md-10 space-sm-10"></div>
<input type="file" name="mydoc1" accept=".jpeg, .jpg, .png, .docx, .doc">
<input type="file" name="mydoc2" style="margin-bottom: 0;" accept=".jpeg, .jpg, .png, .docx, .doc">
</div>
<div class="clearfix"></div>
<div class="file-error"></div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<h4>Subject's Information</h4>
<p class="space-lg-10 space-md-10 space-sm-10"> Information of the subject of the request, which may or may not be different from the person completing this form. I.E. The person that the data you are requesting or requesting be deleted is about.
</p>
</div>
<div class="form-wrapper">
<div class="space-lg-30 space-md-20 space-sm-20"></div>
<div class="field-container category">
<div class="form-field clearfix">
<label for=""><strong>Your Category:</strong>
</label>
<div class="input-group"><span class="input-group-addon">
<input type="radio" name="textfield1" id="category1-f2" value="Hitachi Vantara Current Employee">
<span>Hitachi Vantara Current Employee</span>
</span> <span class="input-group-addon">
<input type="radio" name="textfield1" id="category2-f2" value="Hitachi Vantara Ex-Employee">
<span>Hitachi Vantara Ex-Employee</span>
</span> <span class="input-group-addon">
<input type="radio" name="textfield1" id="category3-f2" value="Hitachi Vantara Current or Ex-Contractor">
<span>Hitachi Vantara Current or Ex-Contractor</span>
</span> <span class="input-group-addon">
<input type="radio" name="textfield1" id="category4-f2" value="Customer, Vendor, or Partner">
<span>Customer, Vendor, or Partner</span>
</span>
</div>
</div>
</div>
<div class="form-container-bg">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="field-container">
<div class="form-field">
<label for="scountry">Country of Origin:</label>
<div class="select-style">
<select id="scountry" name="textfield15" class="">
<option value="">Please Select</option>
<option value="United States">United States</option>
<option value="">--------------------</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma (Myanmar)">Burma (Myanmar)</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curacao">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Gaza Strip">Gaza Strip</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Jan Mayen">Jan Mayen</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn Islands">Pitcairn Islands</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="West Bank">West Bank</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-20"></div>
<p><strong>Subject's Full Legal Name:</strong>
</p>
<div class="form-field clearfix">
<div class="row">
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="sfirstname" name="textfield16" maxlength="255" type="text" class="">
</div>
</div>
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="slastname" name="textfield17" maxlength="255" type="text" class="">
</div>
</div>
</div>
</div>
</div>
<div class="field-container">
<div class="row">
<div class="col-md-6">
<div class="form-field clearfix">
<input id="semail" name="textfield18" maxlength="255" type="email" class="preferred-c__email" placeholder="Your Preferred Contact Email For This Request">
</div>
</div>
</div>
<div class="form-field clearfix">
<p class="info-note">(Please note that if you are a current Hitachi Vantara employee, for security reasons your Hitachi Vantara email address will be used as your contact email for this request.)</p>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<h4>Request Type:</h4>
<p class="space-lg-10 space-md-10 space-sm-10"><strong>Identify the type of request you are submitting. If you have multiple request types, please submit separate forms for each request type. </strong>
</p>
<div class="radiolist pdrfRT2 form-field space-lg-10 space-md-10 space-sm-10">
<div class="customradio">
<input name="textfield2" id="requesttype1-f2" type="radio" value="Data Access Request" class="">
<label for="requesttype1-f2" class="">Data Access Request (Requesting a copy of personal data stored in our systems)</label>
</div>
<div class="customradio">
<input name="textfield2" id="requesttype2-f2" type="radio" value="Right to be Forgotten Request" class="">
<label for="requesttype2-f2" class="">Right to be Forgotten Request (Requesting personal data be removed from our systems)</label>
</div>
<div class="customradio">
<input name="textfield2" id="requesttype3-f2" type="radio" value="Data Modification Request" class="">
<label for="requesttype3-f2" class="">Data Modification Request</label>
</div>
<div class="customradio">
<input name="textfield2" id="requesttype4-f2" type="radio" value="Other" class="">
<label for="requesttype4-f2" class="">Other (Explain in Description Box Below)</label>
</div>
<div class="form-field withelement">
<p><strong>Detailed description of the personal data that is the subject of this request, and the action you request to be taken with respect to your personal data.</strong>
</p>
<p>To the best of your ability, please describe the data you are referring to in this request. Be as specific as possible.</p>
<textarea id="description-f2" name="textfield3" rows="2" class="" maxlength="2000" disabled="disabled"></textarea>
<p class="info-note"><span class="chars">2000</span> characters remaining.</p>
</div>
</div>
</div>
<div class="field-container ycategory" data-category="category2-f2" style="display: none;">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="form-field clearfix">
<div class="left-field">
<label for="textfield20">Social Security Number or equivalent national ID number: <p class="info-note">(This information is mandatory for verification purposes and Hitachi Vantara will not be able to fulfill your request without the
required verification information.)</p>
</label>
<input id="textfield20" name="textfield20" maxlength="255" type="password" class="">
</div>
</div>
</div>
<div class="field-container ycategory" data-category="category3-f2" style="display: none;">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<div class="form-field clearfix">
<div class="left-field">
<label for="govtid">Please upload a legible image of the data subject's government-issued ID: <span style="font-weight:400;">(jpg, jpeg, png)</span>
<p class="info-note">(This documentation is mandatory for verification purposes and Hitachi Vantara will not be able to fulfill your request without the required verification documentation. Hitachi Vantara may contact you for further
information if deemed necessary to verify the validity of your request.)</p>
</label>
<input type="file" name="myfile" accept="image/jpeg, image/jpg, image/png">
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-50 space-md-40 space-sm-30"></div>
<h4>SWORN STATEMENTS</h4>
<p class="space-lg-10 space-md-10 space-sm-10">Please read the following statements, and check the boxes to confirm that you agree.</p>
<div class="checkboxlist form-field space-lg-20 space-md-10 space-sm-10">
<div class="customchkbox">
<input type="checkbox" name="textfield4" class="sworn" id="statement1-f2" value="No">
<label for="statement1-f2">I consent to the processing of the personal information that I am submitting, as outlined below.</label>
</div>
<div class="customchkbox">
<input type="checkbox" name="textfield5" class="sworn" id="statement2-f2" value="No">
<label for="statement2-f2">Hitachi Vantara will use the personal information that you supply on this form (including your email address and any ID information) and any personal information you may submit in further correspondence for the
purposes of processing your request and meeting our legal obligations. We may share details of your request with data protection authorities, but only when they require these details to investigate or review a decision that we have
made.</label>
</div>
<div class="customchkbox">
<input type="checkbox" name="textfield6" class="sworn" id="statement3-f2" value="No">
<label for="statement3-f2">I represent that the information in this request is accurate and that I am authorized to submit this request.</label>
</div>
<div class="customchkbox">
<input type="checkbox" name="textfield7" class="sworn" id="statement4-f2" value="No">
<label for="statement4-f2">I understand that Hitachi Vantara will not be able to process my request if the form is not properly filled out or if the request is incomplete.</label>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-40 space-md-30 space-sm-20"></div>
<h4>Signature</h4>
<div class="form-field clearfix">
<div class="row">
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="signeddate-f2" name="textfield11" maxlength="255" type="text" class=""> <span class="helptext">MM/DD/YYYY (e.g. "12/19/2010")</span>
</div>
</div>
<div class="col-md-3 col-sm-6">
<div class="left-field">
<input id="sign-f2" name="textfield12" maxlength="255" type="text" class="" placeholder="Signature"> <span class="helptext">e.g. John Doe</span>
</div>
</div>
</div>
</div>
</div>
<div class="field-container">
<div class="space-lg-20 space-md-10 space-sm-10"></div>
<p class="conditiontxt">By typing your full name above, you are providing us with your digital signature, which is as legally binding as your physical signature. Please note that your signature must exactly match the first and last names that
you entered at the top of this web form in order for your submission to be successful.</p>
</div>
<div class="field-container">
<div class="space-lg-30 space-md-20 space-sm-10"></div>
<button type="submit" class="button btn--primary grad" title="SUBMIT">SUBMIT</button>
</div>
</div>
<input type="hidden" name="form_unique_id" value="DSARForm2">
<input type="hidden" name="textfield19" value="New Data Subject Access Request Received">
<input type="hidden" name="redirectUrl" value="https://stage.hitachivantara.com/en-us/company/legal/data-subject-access-request/data-subject-access-request-ty">
<input type="hidden" name="form_type" value="SOMEONE ELSE">
</form>POST
<form id="fileUploadForm" enctype="multipart/form-data" method="post" target="fileUploadIframe"><input type="file" id="fileSelector" name="file" style="display: none;"><input name="filename" type="hidden"></form>Text Content
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DATA SUBJECT ACCESS REQUEST FORM
You may have the right to request certain personal data relating to you to be
deleted from or modified in our systems, or you may have the right to request a
copy of personal data about you stored in our systems. This form can be used to
exercise any of those rights.
When fulfilling your request, we will consider the privacy rights of the data
subject as well as the safety, security, and operational needs of Hitachi
Vantara.
During this process, you may be required to provide verification information or
a digital copy of a government-issued ID to verify your identity and the
validity of your request. If you are submitting this request on behalf of
another person, you will need to provide documentation verifying your own
identity and demonstrating that you have the authorization to do so.
ARE YOU REQUESTING FOR:
1. Yourself
2. Someone Else
All fields are required.
YOUR INFORMATION
Information of the requestor, which may or may not be different from the subject
of the request. I.E. Complete this section with your information (the person
filling out this form, not necessarily the subject of the request)
Your Category:
Hitachi Vantara Current Employee Hitachi Vantara Ex-Employee Hitachi Vantara
Current or Ex-Contractor Customer, Vendor, or Partner Other (Explain in
Description Box Below)
2000 characters remaining.
Country of Origin:
Select Country United States -------------------- Afghanistan Albania Algeria
American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia
Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus
Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana
Bouvet Island Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina
Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands
Central African Republic Chad Chile China Christmas Island Cocos (Keeling)
Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia
Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic
East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia
Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia
Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe
Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong
Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Jan
Mayen Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos
Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau
Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands
Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia
Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue
Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau
Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland
Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint
Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome
and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra
Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South
Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan
Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia
Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela
Vietnam Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe
Your Full Legal Name:
Your own name, even if you are making the request on behalf of someone else who
you are authorized to represent. If you are representing someone else, you must
have the legal authority to act on their behalf.
(Please note that if you are a current Hitachi Vantara employee, for security
reasons your Hitachi Vantara email address will be used as your contact email
for this request.)
REQUEST TYPE:
Identify the type of request you are submitting. If you have multiple request
types, please submit separate forms for each request type.
Data Access Request (Requesting a copy of personal data stored in our systems)
Right to be Forgotten Request (Requesting personal data be removed from our
systems)
Data Modification Request
Other (Explain in Description Box Below)
Detailed description of the personal data that is the subject of this request,
and the action you request to be taken with respect to your personal data.
To the best of your ability, please describe the data you are referring to in
this request. Be as specific as possible.
2000 characters remaining.
Social Security Number or equivalent national ID number:
(This information is mandatory for verification purposes and Hitachi Vantara
will not be able to fulfill your request without the required verification
information.)
Please upload a legible image of the data subject's government-issued ID: (jpg,
jpeg, png)
(This documentation is mandatory for verification purposes and Hitachi Vantara
will not be able to fulfill your request without the required verification
documentation. Hitachi Vantara may contact you for further information if deemed
necessary to verify the validity of your request.)
SWORN STATEMENTS
Please read the following statements, and check the boxes to confirm that you
agree.
I consent to the processing of the personal information that I am submitting, as
outlined below.
Hitachi Vantara will use the personal information that you supply on this form
(including your email address and any ID information) and any personal
information you may submit in further correspondence for the purposes of
processing your request and meeting our legal obligations. We may share details
of your request with data protection authorities, but only when they require
these details to investigate or review a decision that we have made.
I represent that the information in this request is accurate and that I am
authorized to submit this request.
I understand that Hitachi Vantara will not be able to process my request if the
form is not properly filled out or if the request is incomplete.
SIGNATURE
MM/DD/YYYY (e.g. "12/19/2010")
e.g. John Doe
By typing your full name above, you are providing us with your digital
signature, which is as legally binding as your physical signature. Please note
that your signature must exactly match the first and last names that you entered
at the top of this web form in order for your submission to be successful.
SUBMIT
All fields are required.
YOUR INFORMATION
Information of the requestor, which may or may not be different from the subject
of the request. I.E. Complete this section with your information (the person
filling out this form, not necessarily the subject of the request)
Country of Origin:
Please Select United States -------------------- Afghanistan Albania Algeria
American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia
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and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra
Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South
Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan
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Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela
Vietnam Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe
Your Full Legal Name:
Your own name, even if you are making the request on behalf of someone else who
you are authorized to represent. If you are representing someone else, you must
have the legal authority to act on their behalf.
I am acting on behalf of...
A Client
A family member
A friend
Other
Attachment: (jpg, jpeg, png, docx, doc)
Please upload both: (1) a legible image of your government-issued ID; and (2) a
legible image of valid documentation demonstrating your authority to make this
request on behalf of the data subject. This documentation is mandatory for
verification purposes and Hitachi Vantara will not be able to fulfill your
request without the required verification documentation. Hitachi Vantara may
contact you for further information if deemed necessary to verify the validity
of your request.
SUBJECT'S INFORMATION
Information of the subject of the request, which may or may not be different
from the person completing this form. I.E. The person that the data you are
requesting or requesting be deleted is about.
Your Category:
Hitachi Vantara Current Employee Hitachi Vantara Ex-Employee Hitachi Vantara
Current or Ex-Contractor Customer, Vendor, or Partner
Country of Origin:
Please Select United States -------------------- Afghanistan Albania Algeria
American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia
Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus
Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana
Bouvet Island Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina
Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands
Central African Republic Chad Chile China Christmas Island Cocos (Keeling)
Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia
Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic
East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia
Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia
Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe
Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong
Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Jan
Mayen Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos
Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau
Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands
Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia
Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue
Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau
Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland
Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint
Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome
and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra
Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South
Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan
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Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela
Vietnam Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe
Subject's Full Legal Name:
(Please note that if you are a current Hitachi Vantara employee, for security
reasons your Hitachi Vantara email address will be used as your contact email
for this request.)
REQUEST TYPE:
Identify the type of request you are submitting. If you have multiple request
types, please submit separate forms for each request type.
Data Access Request (Requesting a copy of personal data stored in our systems)
Right to be Forgotten Request (Requesting personal data be removed from our
systems)
Data Modification Request
Other (Explain in Description Box Below)
Detailed description of the personal data that is the subject of this request,
and the action you request to be taken with respect to your personal data.
To the best of your ability, please describe the data you are referring to in
this request. Be as specific as possible.
2000 characters remaining.
Social Security Number or equivalent national ID number:
(This information is mandatory for verification purposes and Hitachi Vantara
will not be able to fulfill your request without the required verification
information.)
Please upload a legible image of the data subject's government-issued ID: (jpg,
jpeg, png)
(This documentation is mandatory for verification purposes and Hitachi Vantara
will not be able to fulfill your request without the required verification
documentation. Hitachi Vantara may contact you for further information if deemed
necessary to verify the validity of your request.)
SWORN STATEMENTS
Please read the following statements, and check the boxes to confirm that you
agree.
I consent to the processing of the personal information that I am submitting, as
outlined below.
Hitachi Vantara will use the personal information that you supply on this form
(including your email address and any ID information) and any personal
information you may submit in further correspondence for the purposes of
processing your request and meeting our legal obligations. We may share details
of your request with data protection authorities, but only when they require
these details to investigate or review a decision that we have made.
I represent that the information in this request is accurate and that I am
authorized to submit this request.
I understand that Hitachi Vantara will not be able to process my request if the
form is not properly filled out or if the request is incomplete.
SIGNATURE
MM/DD/YYYY (e.g. "12/19/2010")
e.g. John Doe
By typing your full name above, you are providing us with your digital
signature, which is as legally binding as your physical signature. Please note
that your signature must exactly match the first and last names that you entered
at the top of this web form in order for your submission to be successful.
SUBMIT
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