Data Subject Access Request Form

Under GDPR, individuals (DATA SUBJECTS*) who have their personal details held by the IMI are entitled to obtain a copy of their personal data as well as other supplementary information.

If you would like to request access to personal information we hold please:

Complete this form (section A, B & C)
Attach copies of the documentation requested in section C

If you require assistance with completing this form please contact:

Email: GDPR@theimi.org.uk
Tel: 01992 511 521.

*DATA SUBJECT - Individual about whom the IMI holds personal information

Section A - Your Personal Details

Are you currently or previously employed by The IMI?

Yes

Are you making this request for information on behalf of someone else?

Yes

If you are making this request for information on behalf of someone else, please state the nature of your relationship with that person

Parent

Guardian

Legal Rep

Other

If other please specify

If you are making this request for information on behalf of someone else, please provide the following information about yourself.

Note: If the applicant is not the DATA SUBJECT, we will always correspond with the DATA SUBJECT.

First Name(s)

Last Name

Home Address

Postcode

Please complete the following section, providing information about the DATA SUBJECT.

First Name(s)

Last Name

Home Address

Previous Home Address (if applicable)

Date of Birth

Section B - Information Required

Could you provide a description of the information you require?

Section C - Proof of Identity

To ensure we are releasing data to the right person we require you to provide us with proof of your identity and of your address. Please supply us with a photocopy or scanned image (do not send the originals) of one of both of the following:

Proof of Identity

Passport, photo driving licence, national identity card, birth certificate.
One file only.
256 MB limit.
Allowed types: gif, jpg, png, pdf, doc, docx, ppt, pptx, xls, xlsx.

Proof of Address

Utility bill, bank statement, credit card statement (no more than 3 months old); current driving licence; current TV licence; local authority tax bill, HMRC tax document (no more than 1 year old).
One file only.
256 MB limit.
Allowed types: gif, jpg, png, pdf, doc, docx, ppt, pptx, xls, xlsx.

By signing this form, I confirm that the information given above is true. I understand any attempt to mislead the IMI, may result in prosecution.

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