DPR: Declaration [18]

Online Notification Process

back

Progress Bar

Notification reference: sco257

Page reference: Notification Form

NOTIFICATION FORM

Please Read and Sign the Declaration when you print the form.The whole of this form must be signed and returned to this office, with the fee, in order for it to be a valid application. Any incomplete, unsigned forms or those forms missing a fee, will be returned.

Notification reference:	sco257
Data Controller:	Trustees of the Oakleaf Facilities Ltd S I B A
Data Controller Address:	7 Brookfield Moulton Park Northampton
Data Controller Postcode:	NN3 6WL

Company Registration Number:

Contact Details:
(These details will not appear on the Register but will be used by us for all correspondence.)

Name:	Gavin McCloskey
Job title:	Scheme Practitioner
Address:	Pension Practitioner .Com Limited Daws House 33-35 Daws Lane London
Postcode:	NW7 4SD
Phone number:	0800 634 4862
Fax number:	020 8711 2522
Email:	info@pensionpractitioner.com

Trading Names:

Purposes

Base Template: N822 Trustees of a pension scheme

(Office use: purposes)

Purposes:

Pensions administration

Subjects
Complainants, correspondents and enquirers
Customers and clients
Employees of other organisations
Employers
Members and beneficiaries
Relatives, guardians and associates of the data subject
Staff including volunteers, agents, temporary and casual workers
Trustees

(Office use: )

Classes
Employment details
Family, lifestyle and social circumstances
Financial details
Goods or services provided
Personal details
Physical or mental health or condition

(Office use: )

Recipients
Business associates and other professional advisers
Central government
Claimants. beneficiaries, assignees, payees
Current, past or prospective employers of the data subject
Data processors
Data subjects themselves
Employees and agents of the data controller
Financial organisations and advisers
Healthcare, social and welfare advisers or practitioners
Local government
Ombudsmen and regulatory authorities
Other companies in the same group as the data controller
Persons making an enquiry or complaint
Relatives, guardians or other persons associated with the data subject
Suppliers, providers of goods or services
Trade, employer associations and professional bodies

(Office use: )

Transfers
None outside the EEA

(Office use: )

Names of countries:

Have you taken any measures to guard against unauthorised or unlawful processing of personal data and against accidental loss or damage? No

Do the measures include:

Adopting an information security policy? Yes

Taking steps to control physical security? Yes

Putting in place controls on access to information? Yes

Establishing a business continuity plan? No

Training your staff on security systems and procedures? Yes

Detecting and investigating breaches of security should they occur? Yes

Adopting the British Standard on Information Security Management BS7799? No

Does your notification cover all your processing of all personal data? Yes

Are you exempt from notification but have decided to notify voluntarily? No

You are paying by BACS? No

IMPORTANT CHANGES TO REGULATIONS THAT AFFECT PUBLIC AUTHORITIES

Changes to the Data Protection Act 1998

Section 16(1) of the Data Protection Act 1998 (DPA 1998) has been amended following the implementation of the Freedom of Information Act 2000 (FOIA) in England, Wales and Northern Ireland and the Freedom of Information (Scotland) Act 2002 (FOI(S)A) in Scotland. A data controller who is either a public authority for the purposes of the FOIA or a Scottish public authority for the purposes of the FOI(S)A) must declare this fact within its Data Protection Notification.

Schedule 1 in each Act sets out those organisations which are specified as public authorities and includes:

Central Government, Scottish Ministers and the Scottish Parliament

Local Authorities

Schools and Colleges

Police and prosecuting bodies

Doctors, Dentists, Opticians and Pharmacists

The above list is not exhaustive; additional guidance can be found on our website or on the website of the Scottish Information Commissioner www.itspublicknowledge.info

Note: If you are not a Public Authority under either Act you do not need to tick this box.

If you are considered a public authority under the Freedom of Information Act 2000 or a Scottish public authority under the Freedom of Information (Scotland) Act 2002 please tick this box.

By ticking this box, the following statement will be added to your notification:

This data controller states that it is a public authority under the Freedom of Information Act 2000 or a Scottish public authority under the Freedom of Information (Scotland) Act 2002

DECLARATION

To the best of my knowledge and belief the particulars given on this form are correct and complete. I confirm that I am the Data Controller named on this form or that I am authorised to act on behalf of the Data Controller.

Signature	................................................................
Name (please print)	................................................................
Job Title (please print)	................................................................
Date	................................................................
Contact Tel No.	................................................................

What To Do Now

You should print the whole of this form using your browser's print button or menu option.

Sign the declaration above and post ALL of the completed Notification form with a fee for £35 (Please make cheques payable to the Information Commissioner).

Print or take a copy of the notification form for future reference.

Please note: You have to submit the forms by post, you cannot submit them online or fax them to us.

Please return your form and fee or completed direct debit form to:

Information Commissioner's Office
PO Box 66
Wilmslow
Cheshire
SK9 5AX

We will write to tell you when we have received your notification form. If we have any queries or need further information we will contact you.