DEPARTMENTAL EMERGENCY CONTACT FORM NAME (PLEASE INCLUDE YOUR TITLE)

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APPENDIX D1 THESIS DEFENCE AUTHORIZATION FORM – DEPARTMENTAL CHAIRTHESIS

PERSONNEL RECORD FORM

DEPARTMENTAL EMERGENCY CONTACT FORM


NAME: (Please include your title)


YOUR CONTACT ADDRESS (IN GLASGOW):



TELEPHONE NUMBER:



DATE OF ENTRY TO DEPARTMENT:


EXPECTED CONTRACT END DATE (if applicable):


POSITION:

RESEARCH GROUP:

ROOM NO.:

TELEPHONE NUMBER:


LOCAL CONTACT IN EMERGENCY


RELATIONSHIP to you

(Please indicate if this person is your NEXT OF KIN):


NAME:


ADDRESS:



TELEPHONE NUMBERS (home/ work/mobile):


OTHER CONTACT IN EMERGENCY

RELATIONSHIP to you

(Please indicate if this person is your NEXT OF KIN):


NAME:


ADDRESS:



TELEPHONE NUMBER.:


Notes

In accordance with DPA principles, please note the following in relation to this form and the data held within it:

1 The emergency contact data will be used only for emergency purposes e.g in the event of an accident in the workplace.

2 You should notify the individual(s) you have named above that you have provided us with this information and we will hold this information on file whilst you are employed in the Department.

  1. The emergency contact data will only be disclosed in emergency situations to appropriate 3rd parties, e.g ambulance service, the NHS and the police, in your immediate health or safety interests.

  2. It is your responsibility to notify the Departmental Office as soon as possible should any of your contact details change.


Completion of this form is voluntary, however you are required to maintain your contact details on HR Self Service at https://frontdoor.spa.gla.ac.uk/login/

Information on the Data Protection Act can also be found at http://www.gla.ac.uk/dataprotection/ and

http://www.gla.ac.uk/services/information/


I, , agree to the conditions stated above. Date:



BASIC DEPARTMENTAL GRADING RUBRIC FOR WRITTEN ASSIGNMENTS FACULTY MAY
BILLING CODE 481025 DEPARTMENT OF THE TREASURY DEPARTMENTAL
C ONTROLLED ONCE COMPLETED INTER INTRA DEPARTMENTAL WORK


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