5. Attached documents
Please list any documents supplied in the space below and attach them to this form or include as
additional attachments via email.
a.
d.
c.
b.
6. Data protection
I hereby consent for any sensitive/condential personal data, such as counselling records, held by the
University to be made available to the Student Complaints Ocer for use as evidence or supporting
documentation as appropriate. I understand that as part of the investigation into my complaint, the
Student Complaints Ocer may be required to share this information with other LSBU sta on a
need-to-know basis.
I declare that to the best of my knowledge all of the information I have supplied is true, accurate and
complete.
I give my consent for information in this Student Complaint form and attached documents, and
personal data held elsewhere within the University, to be shared with relevant members of
University sta on a need-to-know basis for the purpose of investigating my complaint.
Signature
Date
N.B.
Should you require advice or assistance in completing this form, or in relation to any other
aspect of LSBU’s Student Complaints Procedure, please contact any of the following: LSBU’s Student
Life Centre, LSBU’s Students’ Union or LSBU’s Disability and Dyslexia Support Services.
Please submit the completed form to the Student Complaints Ocer, London South Bank University,
Technopark, 90 London Road, SE1 6LN.
Alternatively, you can email the form to mitchen5@lsbu.ac.uk.
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