SUBJECT ACCESS REQUEST FORM - DOC by 1fS6z9b

VIEWS: 4 PAGES: 2

									                                                                             SAR Form Sept 05

CARDIFF UNIVERSITY

SUBJECT ACCESS REQUEST FORM - DATA PROTECTION ACT 1998

Please use this form if you wish to request a copy of information that the University holds
about you.


1.    Full Name: ……………………………………………………………………………….


2.    Any previous surnames relevant to your enquiry:………………………………..


3.    Please provide your contact details in case the University has a query about
      your request and the address to which you wish the information sent:


      Contact telephone number:


      Contact email address:

                                                  Address to which the information should
      Contact address:                            be sent (if different from contact
                                                  address):




4.    Please provide details of the specific information about yourself that you
      require:




                          NOW PLEASE COMPLETE PAGE 2
                                                                                           SAR Form Sept 05

5.      Please confirm whether the University is likely to hold the above information
        in connection with the following:

     o Your time as a student of Cardiff University or any of its predecessors (if so please
        indicate in which department and provide dates if you have not already done so)


        ……………………………………………………………………………………………..
     o Your time as a member of staff at Cardiff University or any of its predecessors (if
        so please indicate in which department and provide dates if you have not already
        done so)


        ………………………………………………………………………………………………
     o Other capacity (please provide details if not obvious from the description given
        under 4)

        ……………………………………………………………………………………………..


6.      Please provide proof of identity which connects you to the information you
        are requesting:

     o If you are requesting information about you as a student please supply your
       student ID number and date of birth

     o If you are requesting information about you as a member of staff please supply
       your staff ID number and date of birth

     o If none of the above please supply a copy of your passport


7.      The Data Protection Act 1998 provides that a standard fee can be charged in
        respect of Subject Access Requests. The preferred method of payment for
        the fee is by cheque made payable to Cardiff University. The current charge
        is £10.

        I enclose proof of my identity and the standard fee of £10.


        Signed…………………………………………………………. Date ………………….

Return to: Data Protection Officer, Corporate Compliance Unit, Cardiff University,
McKenzie House, 30-36 Newport Road, Cardiff, CF24 0DE.

The University has 40 days in which to search for and provide copies of your personal data, where you are
entitled to it under the Data Protection Act 1998. Provided the University has sufficient information to
enable us to find what you require, and proof of your identity, the 40 day deadline starts from the day the
standard fee is received.

								
To top