Title

☐ Mr

☐ Mrs

☐ Miss

☐ Ms

☐ Other

(please specify)

Surname

First Name(s)

Current address

Phone number

Home:

Work:

Mobile:

Email address

Date of birth

Form of ID

A form of ID from each column needs to be provided.

ID 1

ID 2

☐ Passport

☐ Utility Bill

☐ Driving Licence

☐ Bank Statement

☐ Birth Certificate

☐ Rent book (last 3 months)

☐ Current vehicle registration (v5c)

Type of request

Select one or more of the requests. 

Please note: If this is a request to erase data, it must be the only ticked box on this form.

☐ Rectification of Data

☐ Erasure / Right to be forgotten

☐ Restrict processing of Data

☐ Objection to processing

☐ Data portability

☐ Data subject access request

Please state what the data you are requesting refers to. Please give as much information as possible, for example, how you provided the data, where it was submitted and the reason for giving us this information.

Please state the reason for your request

Are you acting on behalf of the data subject with their written or other legal authority?

☐ Yes (Please give details below)

☐ No

Example – letter of authority, letters or official forms addressed to you on behalf of the data subject or power of attorney.

Please give details of your relationship with the data subject

Title

☐ Mr

☐ Mrs

☐ Miss

☐ Ms

☐ Other

(please specify)

Surname

First Name(s)

Current address

Phone number

Home:

Work:

Mobile:

Email address

Date of birth

Additional information

Declaration – request made by the data subject

I, …………………………………………………………………………………, the undersigned and the person identified in section 1 of this form, hereby request that VIGOUR AND SKILLS LIMITED process my request.

Signature:

Date:

Declaration – request NOT made by the data subject

I, …………………………………………………………………………………, the undersigned and the person identified in section 3 of this form, hereby request that VIGOUR AND SKILLS LIMITED process the request for the data subject identified in section 1 of this form.

Signature:

Date: