Street No. Exterior No. Interior Telephone (s) Neighborhood City Delegation Entity E-mail ZIP. o P.O. Box Office Website Email Address City State Access Rectification Cancellation Opposition Address: E-Mail Other (Indicate) Clear description of your request: Reason for request: In case of Rectification, indicate the following: The personal data says: The personal data must say: Documents that you deliver to prove the rectification In case of Cancellation, indicate the following: The personal data or data that you wish to cancel: Signature * The Holder must prove his identity by presenting a copy of his identification official and original for its collation to exercise the ARCO rights or, failing that, the documents that prove the personality of its legal representative. Information about the area where you provided your personal data: Right, you wish to exercise: (Mark with an X) Owner”s Address: H.