TABLE OF CONTENTS
SCHEDULE 1 – REQUEST FOR ACCESS TO PERSONAL DATA.. 7
SCHEDULE 2 – REQUEST FOR RECTIFICATION TO PERSONAL DATA.. 9
SCHEDULE 3 – REQUEST FOR ERASURE OF PERSONAL DATA FORM… 11
SCHEDULE 4 – REQUEST FOR RESTRICTION OR OBJECTION TO THE PROCESSING OF PERSONAL INFORMATION.. 13
SCHEDULE 5 – DATA PORTABILITY REQUEST FORM… 14
SCHEDULE 6: TIMELINES FOR RESPONDING TO DATA SUBJECT REQUESTS. 15
| Right | Description of Right | Examples in Practice |
| Right to Information | Right to be informed of the collection and use of personal data. | An employee is provided with a Privacy Notice explaining how their biometric data is used and who has access to it |
| Right of Access | Right to obtain confirmation of whether their personal data is being processed and access to that data. | An employee requests for a copy of all their employment records, including their performance appraisals and disciplinary records. |
| Right to Rectification | Right to request correction of inaccurate or incomplete data. | An individual updates an incorrect phone number or email address in their file/contract records. |
| Right to Erasure (“Right to be Forgotten”) | Right to request deletion of their data in specific circumstances. | A job applicant withdraws their application and asks NAS to delete their CV and supporting documents. |
| Right to Restrict Processing | Right to request limitation of how their data is used in certain situations. | An individual supplier asks NAS to suspend use of their data pending verification of a disputed payment. |
| Right to Data Portability | Right to receive their personal data in a structured, machine-readable format and transmit it to another controller. | A former employee requests a digital copy of their employment and training records to be transferred to a new employer |
| Right to Object | Right to object to processing of their personal data, including for direct marketing. | A model withdraws their consent for the use of their personal data for marketing purposes |
| Right Against Automated Decision-Making | Right to object to decisions made solely through automated processing that significantly affect them. | An employee requests to understand how your system automatically assigns shift schedules and whether any human review occurs. |
Note:
(i) Documentary evidence in support of this request may be required.
(ii) Where the space provided for in this Form is inadequate, submit information as an
annexure
(iii) All fields marked as * are mandatory
(This section is to provide the details of the Data Subject)
Name*: ………………………………………………………………………….
Identity Number*:……………………………………………………………….
Phone number*: ……………………………………………………………………
e-mail address: ……………………………………………………………………….
(Provide the following details where making a request on behalf of a minor or a person
who has no capacity)
Name*:…………………………………………………………………………..…
Relationship with the Data Subject*: ………………………………………………. …..
Contact Information*: ………………………………………………………………………
(Describe the Personal Data requested)
MODE OF ACCESS
I would like to: (check all that apply)
[ ] Inspect the record
[ ] Listen to the record
[ ] Have a copy of the record made available to me in the following format:
[ ] photocopy (Please note that copying costs will apply)
number of copies required: ……………………………….
[ ] electronic
[ ] transcript (Please note that transcription charges may apply)
[ ] Other (specify) ………………………………………………………………..
[ ] collection in person
[ ] by mail (provide address where different / in addition to details provided above)
Town/City: …………………………………………………………………………………………
[ ] by e-mail (provide email address where different / in addition to details provided above): ……………………………………………………………………………
DECLARATION
Note any attempt to access Personal Data through misrepresentation may result in
prosecution.
I certify that the information given in this application is true.
Signature Date
Fill as appropriate
Note:
(This section is to provide the details of the Data Subject).
Name*:
Identity Number*: ……………………………………………………
Phone number*: ………………………………………………………
e-mail address: ………………………………………………………….
(Provide the following details where making a request on behalf of a minor or a person
who has no capacity)
Name* : …………………………………………………………………..
Relationship with the Data Subject*: ………………………………………….
Contact Information*: ……………………………………………………………
Signature Date
Section 3: PROPOSED CHANGE(S)
| S/NO | Personal Information currently on the file to be corrected e.g., name, residential status, mobile number, email address. | The proposed change | Reason for the proposed change |
| 1. | |||
| 2. | |||
| 3. | |||
| 4. | |||
| 5. | |||
| 6. |
B: DECLARATION
Note any attempt to rectify Personal Data through misrepresentation may result in prosecution
I confirm that I have read and understood the terms of this request form and certify that the information given in this application is true.
Signature Date Date
Fill as appropriate
Note:
(This section is to provide the details of the Data Subject).
Name*: ………………………………………………………………………………………………………………….
Identity Number*: ………………………………………………………………………………………………….
Phone number*: ……………………………………………………………………………………………………..
e-mail address: ……………………………………………………………………………………………………….
(Provide the following details where making a request on behalf of a minor or a person
who has no capacity)
Name* ………………………………………………………………………………………………………………….
Relationship with the Data Subject* …………………………………………………………………………
Contact Information* ………………………………………………………………………………………………
(Tick the appropriate box)
| Your Personal Data is no longer necessary for the purpose for which it was originally collected; | |
| You have withdrawn consent that was the lawful basis for retaining the Personal Data; | |
| You object to the Processing of your Personal Data and there is no overriding legitimate interest to continue the Processing; | |
| The Processing of your Personal Data has been unlawful | |
| Required to comply with a legal obligation. |
PERSONAL DATA TO BE ERASED
Describe the Personal Data you wish to have erased.
Note
Annexure
Mark the appropriate box with an “x”. Request for:
RESTRICTION OBJECTION
Name: ……………………………………………………………………………………………………………………
Identity Number: ……………………………………………………………………………………………………
Phone number: ………………………………………………………………………………………………………..
E-mail address: ………………………………………………………………………………………………………
(Your details below where initiating the request for a minor or a person who has no
capacity)
Name ……………………………………………………………………………………………………………………
Relationship with the Data Subject …………………………………………………………
Contact Information: …………………………………………………………………………
(Please provide detailed reasons for the restriction or objection)
I certify that the information given in this application is true
Signature Date
SCHEDULE 5 – DATA PORTABILITY REQUEST FORM
Note:
DETAILS OF THE DATA SUBJECT
(This section is to provide the details of the Data Subject).
Name*: …………………………………………………………………….
Identity Number*: ………………………………………………………….
Phone number*: …………………………………………………………….
e-mail address: ………………………………………………………………
(Provide the following details when making a request on behalf of a minor or a person
who has no capacity)
Name*: …………………………………………………………………………
Relationship with the Data Subject*: ………………………………………….
Contact Information*:……………………………………………………….
Please transfer a copy of my Personal Data to * …………………………………………….
By either:
DECLARATION
Note, any attempt to port Personal Data through misrepresentation may result in
prosecution.
I certify that the information given in this application is accurate to the best of
my knowledge
Signature Date
| Right | Response Timeline | Response timeline where request is declined |
| Right to Access | 7 days | None provided in law |
| Right to Rectification | 14 days | 7 days |
| Right to Erasure | 14 days | None provided in law |
| Right to Restrict Processing | 14 days | 14 days of the refusal |
| Right to Data Portability | 30 days | 7 days |
| Right to Object | 14 days | 7 days |