Individual Rights Request Form
Please return the completed form and proof of identity to dataprotection@libf.ac.uk.
Or by post to: Data Protection Co-ordinator, The London Institute of Banking & Finance, 4-9 Burgate Lane, Canterbury, Kent, CT1 2XJ
YOUR DETAILS
Are you the Data Subject? (The individual who is the subject of the required information) YES
n
If you are the Data Subject please supply photocopied evidence of your identity eg a photocopy of your passport or diving licence.
NO
n
If you are acting on the behalf of the Data Subject, please provide evidence of the data subject’s authorisation for you to act on their
behalf and provide a photocopy of their passport or driving licence.
SECTION 1
YOUR DETAILS
LIBF number __________________________________________________________________________ Title (Mr / Mrs / Ms etc) ________________________________
First name(s) / Given name(s) ____________________________________________________________________________________________________________________
Last name / Family name _________________________________________________________________________________________________________________________
Previous name
(Please tell us any previous names you have used that would help us link this registration to any other records we may hold for you)
_____________________________________________________________________________________________________________________
Date of birth
_______________________________________ Gender Male
n
Female
n
Preferred email address __________________________________________________________________________________________________________________________
Please provide a telephone number we can use to contact you if necessary:
Telephone no ________________________________________ Mobile no.
(if different from Telephone no.) ______________________________________________
Home address __________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
Postcode / Zipcode
_____________________________________________________ Country ____________________________________________________________
SECTION 2 – PERSONAL DETAILS
The London Institute of Banking & Finance is a registered charity, incorporated by Royal Charter.
YOUR DETAILS
This request refers to my right:
to be informed
n
of access
n
to rectification
n
to erasure
n
to restrict processing
n
to data portability
n
to object
n
SECTION 3
YOUR DETAILS
SECTION 4 – REASON FOR REQUEST