Privacy Opt-Out

Personal Information Removal Request Form

For privacy reasons, you may have the right to ask for certain personal information relating to you to be removed. This form is for requesting the removal of specific results for queries that include your name from Aruze Search. If you want to request removal of personal information from another Aruze product, please submit a request through that product's form, which you can reach at our Removing Content From Aruze page. For example, if you want to request removal of personal information from Blogger, please submit a request on the relevant Blogger form. When you make your request, we will balance the privacy rights of the individual concerned with the interest of the general public in having access to the information, as well as the right of others to distribute the information. For example, we may decline to remove certain information about financial scams, professional malpractice, criminal convictions, or public conduct of government officials. You will need a digital copy of an identification document to complete this form. If you are submitting this request on behalf of someone else, you will need to supply identification documentation for them.

Country of orgin*

Full legal name*

First Last

Contact email address*

I am acting on behalf of...*

Myself
A client
A family member
A friend
Other

If you are submitting this request on behalf of someone else, please specify your relationship to that person (for example: "parent", "attorney"). We may ask for documentation confirming that you are authorized to represent this person.

Your legal relationship to the person on whose behalf this request is made*

Attach a legible copy of a document that verifies the identity of the person on whose behalf the request is made*

Max. file size: 256 MB.

To prevent fraudulent removal requests from people impersonating others, trying to harm competitors, or improperly seeking to suppress legal information, we need to verify the identity of the person on whose behalf the request is made (the relevant individual). A passport or other government-issued ID is not required. You may obscure parts of the document (e.g. ID number) as long as the remaining information identifies the relevant individual. You may also obscure any photograph in the identification document, unless you are asking for removal of pages that include photographs of the relevant individual. Aruze LLC will use this information solely to help us assess and document the authenticity of your request and will delete the copy within a month of closing your removal request except as otherwise required by law. To upload more than one document, hold down the Ctrl or Command key while choosing files.

Have you filed a previous request?

If you (or the relevant individual) have already asked us to remove URLs containing similar content, we can help you more quickly if you reply to the email we sent you (or the relevant individual) instead of sending a new notice. If you would rather send us a new notice, enter the 14-digit reference number from the previous request. As an example, the format will be similar to 1-1111000001111. You can find it in the subject line of the email we sent in response to the previous request.

IDENTIFY THE PERSONAL INFORMATION YOU WANT REMOVED AND ITS LOCATION

If this notice concerns multiple reasons for infringement, please submit only the first one below. Then, click the "Add a new group" link below the text boxes to add another reason.

The URL(s) for the content containing the personal information you want removed*

Please enter one URL per line (Max 1000 lines)

Reason for removal*

For each URL you provided, please explain: (1) how the personal information identified above relates to the person on whose behalf this request is made; and (2) why you believe the personal information should be removed For example: "(1) This page is about me because a, b, and c. (2) This page should be removed because x, y, and z."

Name used to search*

This should be the name that, when used as a search query, produces the results you would like to delist. If you wish to submit multiple names (e.g. if your maiden name differs from your current last name), put a "/" between the names. For example, "John Smith / John Doe".

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:

Aruze LLC 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. That will normally be because you have chosen to contact your national DPA about our decision. Where URL(s) have been removed from our Search results as a result of your request, we may provide details to the relevant webmaster(s) of the URL(s) that have been removed. Please note that if you are signed into your Aruze Account, we may associate your submission with that account.

I represent that the information in this request is accurate and that I am authorized to submit this request.

I understand that Aruze will not be able to process my request if the form is not properly filled out or if the request is incomplete.

SIGNATURE

Signed on this date of:*

MM/DD/YYYY (e.g. "12/19/2010")

Signature:*

e.g. John A. Smith 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.

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