Access Request Form
Customer details – Please fill in using BLOCK letters and complete all fields.
We may need to contact you to discuss your access request.
Request for a copy of Personal Data under the Data Protection Act 1988 and Data Protection (Amendment) Act 2003
Please select the type of Data Access Request you would like to make:
Section 3 Data Access Request – Information only
I, ______________________________________ [insert name] wish to be informed whether or not Boru Jewelry ® holds personal data about me, to be provided with a description of this data and to be informed of the purpose for holding such data. I am making this Access Request under Section 3 of the Data Protection Acts.
The purpose of this form is to request a copy of your personal data held by Boru Jewelry ®.
If you are requesting a Section 4 Data Access Request please include photographic ID (for example driver’s licence, passport etc.- Note: we require proof of the applicants identity and address to ensure that the person making this access request is acting legitimately) with this Access Request Form.
Section 4 Data Access Request – Information and copies
I, ______________________________________ [insert name] wish to make an Access Request for a copy of
any personal data that Boru Jewelry ® holds about me. I am making this Access Request under Section 4 of the Data Protection Acts.
Section 6 Data Correction/Erasure
I, ______________________________________ [insert name] wish to request that Boru Jewelry ® rectify or,
where appropriate, erase inaccurate personal data Boru Jewelry ® holds about me. I am making this Access
Request under Section 6 of the Data Protection Acts.