General Data Protection Regulation 2016 (GDPR) / Data Protection Act 2018
(DPA) - Privacy Notice.
Under the GDPR and DPA, Ashfield
District Council, Urban Road, Kirkby in Ashfield, Nottingham.
NG17 8DA is a Data Controller for the information it holds about you. The Council will hold the
information above provided by you for assessing your application. The lawful basis under which the
Council uses personal data for this purpose is Public Task.
The information provided by you includes the following special categories of personal data:
Physical or Mental Health
Genetic / Biometric data
Criminal History (including motoring offences)
Information in these categories is used by the Council on the basis that such use is necessary for
reasons of substantial public interest, and in accordance with the provisions of the Data Protection Act
2018.
Your data will be held for a period of 6 years. Subject to some legal exceptions, you have the right to
request a copy of the personal information the Council holds about you; to have any inaccuracies
corrected; to have your personal data erased; to place a restriction on our processing of your data; to
object to processing; and to request your data to be ported (data portability). The information provided
by you may also be used for other functions carried out by the Council in accordance with GDPR and
DPA. For more information about how the Council may use your data and to learn more about your
rights please see the Council’s Privacy Statement: www.ashfield.gov.uk/privacy
If you have any concerns or questions about how your personal data is processed, please contact the
Council’s Data Protection Officer at the address at the bottom of this form or by email to
dpo@ashfield.gov.uk . If you are dissatisfied with the Council’s response you can complain to the
Information Commissioner's Office in writing to: Information Commissioner's Office, Wycliffe House,
Water Lane, Wilmslow, Cheshire SK9 5AF or by telephone 0303 123 1113 (local rate) or 01625 545
745.
I have read the conditions subject to which this application will be considered and confirm that the
vehicle meets the requirements set out therein. I, the undersigned, hereby declare that the information
contained in this application is true and accurate to the best of my knowledge. I understand that if I
knowingly or recklessly make a false statement or omit any material particularly in giving information
as part of this application I shall be committing an offence and will be liable for prosecution. I confirm I
have read the General Data Protection Regulation 2016 (GDPR) / Data Protection Act 2018 (DPA) -
Privacy Notice above.
Signature of Applicant: ________________________ Date: ________________
Consent to obtain electronic Standard / Enhanced Check result (if using the DBS
Update Service):
I consent to the DBS providing an electronic result directly to the Registered Body that has submitted
my application. I understand that an electronic result contains a message that indicates either the
certificate is blank or to await certificate which will indicate that my certificate contains information. In
some cases the Registered Body may provide this information directly to my employer prior to me
receiving my certificate.
Signature of Applicant: _____________________________Date: _______________
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