Access form request or modification of personal datas

Your personal data are processed by Worms Services Maritimes in order to take your request in consideration.

This form will permit you to provide directly your GDPR request on line regarding your personal data rights.

* = Required fields

Professional information

Company Name

DUNS / Company identification number

Applicant contact details

Last name

First name

Phone number

Proof of identity of the applicant

Request Details

Request Object

Request Details

You wish to receive this information

By email By mail

By filling your request, you certify the accuracy of the informations mentioned.