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Contact Address - The Data Protection Public Register

By Judith Patterson,2014-06-01 07:54
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Contact Address - The Data Protection Public Register

     If you have determined that notification is required you can complete the form below

     guidance on completion of this form is given overleaf. Send it to us, fax it (01481 742077)

    or email the information and a draft notification form will be sent to you for further action.

    Request for Notification Form

If you have determined that Notification is required you can complete the form below

    guidance on completion of this form is given overleaf. Send it to us, fax it (01481 742077)

    or e-mail the information and a draft notification form will be sent to you for further action.

    Alternatively you can complete the notification process on-line by visiting our website:

    (www.dpr.gov.gg ). The Notification will then be submitted electronically and the

    appropriate fee, or direct debit form should be sent to us by post.

Data Controller Name:

    (Please see overleaf for guidance )

Data Controller Address:

    (if a Ltd or plc company this should be

    the registered office address)

Contact Name & Job Title:

Contact Address:

Contact Telephone Number:

Contact Fax Number:

Contact Email Address:

    (Generic if possible)

Nature of Business: e.g. Doctor,

    Accountant. (Please note it is

    essential to indicate the nature of business so that the correct information can be sent to you.)

     Do you use CCTV? YES NO

    (Please do not send any payment with this form)

    Signature

    Name Job Title

    Date Tel No.

    Advice about any aspect of notification can be obtained by writing to the address below or

    by calling the Commissioner’s Office on 01481 742074.

    Please return to: Data Protection Commissioner’s Office,

    P.O. Box 642, Frances House, Sir William Place,

    St Peter Port, Guernsey GY1 3JE

    e-mail address: dataprotection@gov.gg

Data Controller Name

    The name you provide must be the correct legal title of the individual or organisation. Examples are given below.

    ; Sole Traders

     Provide the full name of the individual e.g. Anna Katherine Smith

    ; Partnerships

     Provide the trading name of the firm e.g. Buttersfield & Co (you do not

     have to provide the names of the partners)

    ; Companies

     Provide the registered name of the company e.g. ABC Ltd - not your

     trading name.

    ; Groups of companies

    Groups of companies cannot submit a single notification. Individual companies

    who are data controllers must notify separately.

    ; Schools

     Provide the name of the school e.g. Hazeldown School

    ; Others, e.g. voluntary bodies

     Provide the name by which you are known to the public.

Data controller address

    If you are a company you must provide your registered office address. In all other cases you must provide the address of your principal place of business. If there is no

    place of business (e.g. for a small local voluntary body) you should provide the address of the official who has completed the form.

CCTV

    If you use CCTV for crime prevention purposes, this must be included in your Notification.

Contact details

You may provide a name, address (within the Bailiwick), telephone number, fax

    number and e-mail address. We will use these details for all correspondence in connection with your notification. These details will not appear on the public register. Your email address will be used for issuing renewal reminders, so should be a generic, rather than a personal address if at all possible.

    October 2005

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