POWERPLUSWATERMARKOBJECT3 SUBJECT ACCESS REQUEST FORM UNDER THE TERMS OF

POWERPLUSWATERMARKOBJECT3 PUBLIC HEALTH WALES UNSCHEDULED CARE
0 PÁGINA 0 DE 1 POWERPLUSWATERMARKOBJECT3 CONVOCATORIA DE SUBVENCIONES
18 POWERPLUSWATERMARKOBJECT357831064 MENOPAUSE POLICY NHS HIGHLAND WARNING – DOCUMENT

2 PÁGINA 0 DE 2 POWERPLUSWATERMARKOBJECT3 CONCESIÓN DE SUBVENCIONES
24 POWERPLUSWATERMARKOBJECT357831064 DELTA COLLEGE FOUNDATION A CALIFORNIA NONPROFIT PUBLIC
3 POWERPLUSWATERMARKOBJECT357831064 JOB DESCRIPTION PERSON SPECIFICATION POST ALS ADMINISTRATOR

DATA SUBJECT ACCESS APPLICATION FORM

Subject Access Request Form

Under the terms of the General Data Protection Regulation (GDPR) an individual is entitled to ask for a copy of all personal information which it holds about him / her. The information which the individual is entitled to receive includes a description of these purposes, recipients to whom the data are disclosed and sources of the data. This entitlement is known as the "Right of Access to Personal Data".

To ensure that your personal information is passed directly to you or your authorised representative and to avoid identity fraud, you will be asked to provide verification of your identity.

If you would like to access the personal data this authority holds about you please answer the following questions.

1. PERSONAL DETAILS

Name

Present Address

Post Code

Tel No

Date of Birth

National Insurance No

Length of time at this address

years

If you have lived at this address for less than two years please provide your previous addresses.

Post Code

Length of time at this address

years

Post Code

Length of time at this address

years

2. The authority uses personal data for the purposes shown below, if you would
like to access personal data held about you please tick the appropriate boxes.

Library Services		Council Tax
Housing Services		Planning / Building Standards
Social Work Services		Environmental Health / Trading Standards
Leisure Services		Education
Other: Please specify below

Data Subject Declaration

In exercise of the right granted to me under the terms of the General Data Protection Regulation (GDPR), I request that you provide me with a copy of the personal data about me which you process for the purposes I have indicated.

I confirm that the above is all of the personal data to which I am requesting access and which is held by the authority for its purposes. I also confirm that I am the Data Subject and not someone acting on his / her behalf.

Signed

Mr./Mrs./Ms./Title

Date

This section to be completed by person(s) acting on behalf of the data subject

I confirm that I am acting on behalf of the data subject and have submitted proof of my authority to do so.

Name
Present Address

Post Code	Tel No
Signed	Mr./Mrs./Ms./Title	Date

Please see overleaf

58TH CONFERENCE ON EXCEPTIONAL CHILDREN POWERPLUSWATERMARKOBJECT3 NC PT INSTITUTE
APPENDIX 3 POWERPLUSWATERMARKOBJECT357870517 CONFIDENTIAL JOB DESCRIPTION JOB TITLE EMPLOYER
ESTADÍSTICA I – PRÁCTICA 1 POWERPLUSWATERMARKOBJECT3 PRÁCTICA 2 ESTADÍSTICA

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