Data Subject Access Request

Your Details

Please provide your information in the space provided below.
We will only use the information you provide on this form to identify you and the personal data you are requesting access to, and to respond to your request.

Title (Please tick)(*)
Please select a title

First Name(s)(*)
Please type your first name

Last Name(*)
Please type your last name

Date of Birth(*)
/ / Please enter your date of birth

Address(*)
Please add the first line of your address

Address
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City/County(*)
Please type your city or county

Postcode(*)
Please type your postcode

Telephone (daytime)(*)
Please type your telephone number

Email(*)
Please type your email address.

Relationship to Harlow College(*)
Please select your relationship to Harlow College

Proof of Data Subject's Identity

We require proof of your identity before we can respond to your request. In order to prove the applicant’s identity, we need to see copies of two pieces of identification, one from list A and one from list B below. Please indicate which ones you are supplying.

List A – Identification that clearly shows your name and date of birth
Photo or scan of one of these documents – PDF or JPG(*)

Please select a document type

Upload Document A(*)
Wrong file type. Only .pdf, .jpeg or .jpg accepted.

List B – Documentation that clearly shows your name and current address
Photo or scan of one of these documents – PDF or JPG(*)

Please select a document type

Upload Document B(*)
Wrong file type. Only .pdf, .jpeg or .jpg accepted.

We reserve the right to refuse to act on your request if we are unable to identify you.
If you do not have any of these forms of identification available, please contact our Data Protection Officer for advice on other acceptable forms of identification:

Personal Information

So that we can locate the data you require efficiently, please answer the following questions to the best of your knowledge.

The Information Commissioner has stated that as much information as possible should be provided to assist with tracing your information.

Details of your request(*)
Please enter the details of your request

Please tell us as much as you can about the information you are requesting about yourself. For example, if you are requesting access to your personal data which might be in an email or document, it helps in our search to know who might have written it, when and to whom the information might have been sent, and where it may be stored.


If relevant to your request, please provide the dates between which you are wanting information on you to be provided
Start Date
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End Date
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Declaration

This form must be confirmed by you (the data subject)

I request a copy of the relevant personal data that are held by Harlow College relating to information provided above. I confirm the information supplied is correct and I declare that I am the individual as indicated above.

Tick Confirmed(*)
Please tick the 'Confirmed' box

Confirmation Date(*)
Please select a date

Captcha Anti-spam(*)
Captcha Anti-spamPlease type the characters shown