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MENU
MENU
Home
About
Our Story
Our Team
C3 Reports
Corporate Governance
Data Protection Policy
Whistleblowing Policy
Programmes
Children
Club TREASURE
GROW
StoryLAB
iREAD
Youth
Youth Drop-in Centres
Youth Events
Counselling
Our Counsellors
Counselling Services
ACE STAR
Supervision Services
Talks and Workshops
Seniors
Active Aging
Befriending
Stories
Get Involved
Volunteer
Partner
Contact
Donate
Access Request Form
Under the Personal Data Protection Act 2012 (“PDPA”), you are entitled to request for your personal data that we have, and request to know how your personal data has been used or disclosed over the past year.
Your Full Name
*
Email Address
*
Contact Number
*
Please check the applicable box(es):
*
I am making an access request for my own personal data
I am making an access request on behalf of other individual(s)
Name of other individual(s) whom you are making an access request on behalf of:
*
Contact number of other individual(s) whom you are making an access request on behalf of:
*
Email address of other individual(s) whom you are making an access request on behalf of:
*
DESCRIPTION OF THE PERSONAL DATA REQUESTED
To enable us to process your access request quickly and efficiently, please provide us with as much information as possible about the personal data you are requesting access to (e.g. type of personal data, date, time).
FEE AND PROOF OF IDENTITY
*
We require evidence that this request is genuine. Please enclose the following proof of identity. If you are applying on someone else’s behalf, please enclose the following proofs of identity for the data subject and yourself together with proof of authorisation. Please note that failure to provide these documents and make payment with your application may result in a refusal of your request.
I enclose the following with this request:
Copy of the front and back of my NRIC
Copy of the front and back of data subject's NRIC
Authorisation letter from data subject
Proof of $20 payment of fee to process request
Others (please specify)
Front and Back of NRIC
*
Drop files here or
Select files
Max. file size: 32 MB.
Other documents
*
Drop files here or
Select files
Max. file size: 32 MB.
Authorisation letter
*
Max. file size: 32 MB.
Proof of Payment
PAYNOW to UEN: T10SS0047C Indicate “PDPA Access” in the payment reference
Max. file size: 32 MB.
Others (Please specify)
DECLARATION
*
1. I understand that you may request for further information from me if necessary.
2. By completing and submitting this form, I hereby consent to your collection, use and disclosure of my personal data in accordance with the Privacy Notice which can be found on your website. I also agree and undertake to pay any additional fee which may be reasonably incurred to fulfill the request (if applicable) which you will notify me in advance before processing the request.
3. I understand that you reserve the right to refuse to provide access to the requested data in certain circumstances, such as where prohibitions or exceptions that are provided under the Personal Data Protection Act or other written law apply.
4. I confirm that the information given in this Form and any documents enclosed are true and accurate.
I agree
I disagree