Subject Access Request Form

Article 15 of the General Data Protection Regulations and Part 3 of the Data Protection Act 2018 gives you (the
Data Subject) the right to apply for a copy of information about yourself. You may, if you so wish, appoint
someone (an agent) to apply on your behalf e.g. your parent or a solicitor.

In order to help you, and ensure confidentiality, we will need to ask you for:-
 A request in writing
 One proof of address, from the proof of identity checklist below
 One photo ID, from the proof of identity checklist below

Sufficient information to locate the data requested

The school cannot and is not by law obliged to comply with a Subject Access request on the basis of “What
does the school hold about me?” We are entitled to ask reasonable questions to identify the information you
require and what your working and business connections are with us to help locate where the data may be
held. Please help us to help you.

Please complete this form in as much detail as possible.

The information you provide will be used only for the purposes of servicing and processing your request. This
will involve liaising with relevant parts of the School.

Details of the Data Subject (the person whom the information is about)

Full Name
Daria Andreea Spatariu
DOB
14/July/2014
Address
Iași County, Balș village, Strada Principală street, nr.51A, Romania

Postcode 705301

Email Address
nicoletacretu1991@gmail.com
Daytime contact telephone
number +40723392768

Previous addresses (where IG13TT,425 Wanstead Park Road

applicable)

Relevant reference numbers (eg.

Council tax no., Staff payroll no.)

1
Please provide a description of the information you would like to be provided with. Please include the
names of any relevant Officers you have dealt with; and details of services we have provided to you
including dates and any relevant information we may need to locate the information concerned:

Daria Spatariu was enrolled at Gordon Primary School and we have moved from the UK to Romanian and we require her grade
transcript sheet to finish the transfer. Her grades need to be equivalated to the Romanian grading system.

I would like the reply to this my email: nicoletacretu1991@gmail.com

request to be sent to:
(Delete as applicable)

I understand that to ensure confidentiality it may be necessary for the School to obtain further
information to confirm my identity and to locate the data sought.

Signature of Applicant

Date

Please send your request to-

Post: Gordon Primary School, Golfe Road, Ilford , IG1 1SU

Email to: admin.gordon@redbridge.gov.uk

Please Note:

If you would like to ensure that your personal data is encrypted during transmission you should send
an introductory email to admin.gordon@redbridge.gov.uk which means that we can send you an encrypted
email via our Egress email encryption product. You will then be able to reply to this email at no cost and attach
your form and supporting identification safe in the knowledge that your personal documentation cannot be
intercepted.

Proof of identity checklist for individuals making a subject access request

2
You cannot use one form of identification for both name and address.

For example, if you provide your driving licence as proof of your name you must provide another form of
identification for your address, such as a utility bill.

Proof of name Proof of address

Utility bill (gas, electric, satellite television, landline
Current signed passport phone bill) issued within the last three months

Original birth certificate (UK birth certificate issued within

12 months of the date of birth in full form including those
issued by UK authorities overseas such as Embassies High Local authority council tax bill for the current council tax
Commissions and HM Forces) year

EEA member state identity card (which can also be used

as evidence of address if it carries this) Current UK driving licence (but only if not used for the
name evidence)

Bank, Building Society or Credit Union statement or

Current UK or EEA photocard driving licence passbook dated within the last three months

Original mortgage statement from a recognised lender

Full old-style driving licence issued for the last full year

Solicitors letter within the last three months confirming

Photographic registration cards for self-employed recent house purchase or land registry confirmation of
individuals in the construction industry -CIS4 address

Council or housing association rent card or tenancy

Benefit book or original notification letter from Benefits agreement for the current year
Agency

Benefit book or original notification letter from Benefits

Firearms or shotgun certificate Agency (but not if used as proof of name)

HMRC self-assessment letters or tax demand dated

Residence permit issued by the Home Office to EEA within the current financial year
nationals on sight of own country passport

National identity card bearing a photograph of the applicant

Electoral Register entry

NHS Medical card or letter of confirmation from GP’s

  practice of registration with the surgery

Documents we will not accept include, but are not limited to

 Provisional driving licence
 Mobile phone bills
 Credit card statements