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✂
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Part V: Exclusions
I do not require any personal data
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which is:
contained in documents which had previously been provided to the Data User by the Data Subject
(e.g. letters to the Data User and/or the Requestor from the Data Subject)
contained in documents which had previously been provided to the Data Subject by the Data User
(e.g. letters to the Data Subject and/or the Requestor from the Data User or documents the Data
User had provided to the Data Subject and/or the Requestor pursuant to a previous request)
in the public domain (e.g. newspaper clippings or entries in public registers concerning the Data
Subject)
set out below (please describe as fully as possible):
(Please tick and complete where appropriate)
Part VI:
The Request
I hereby request you:-
(a) to inform me whether you hold the Requested Data
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(b) to supply to me a copy of the Requested Data that you hold
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, subject to the exclusions in Part V
above
both (a) and (b)
(Please give a tick in the appropriate box)
Part VII:
Preferred Manner of Compliance
I would prefer that you
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:
send by registered mail a copy of the Requested Data to me at my correspondence address given in
this Form
send by ordinary mail a copy of the Requested Data to me at my correspondence address given in
this Form
supply to me a copy of the Requested Data in the *English/Chinese/in the language in which the
data is held
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(*Please delete where appropriate).
supply to me a copy of the Requested Data in the form of
_____________________________________
(e.g. computer disk, microfilm, etc.)
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(Please tick and complete where appropriate)
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Please tick to exclude, as far as possible, any personal data that you do not wish to include in the scope of the Requested Data.
This may help to avoid any unnecessary delay or charge in complying with the data access request.
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By ticking this box, the Requestor indicates that he is requesting only for a confirmation of “Yes” or “No” as to whether the Data
User holds the Requested Data and is not requesting the Data User to provide a copy of the Requested Data.
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By ticking this box, the Requestor indicates that he is requesting only for a copy of the Requested Data. If the Data User does not
hold the Requested Data, the Data User will need to notify the Requestor in writing that it does not hold the data. Please refer to
paragraph 1 of “Important Notice to Data User” for exception to written notification.
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However, compliance with the data access request may not be in the preferred manner where it is not reasonably practicable to do
so.
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If the language specified is not the language in which the data is held, subject to section 20(2)(b), it will be sufficient for the Data
User to provide a true copy of the document which contains the data.
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If the Data User is unable to supply the form as specified because it is not practicable for the Data User to do so, it will be
sufficient to supply the data in the form which it is practicable for the Data User to supply and accompanied by a written notice to
inform the Requestor of the same.
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III: F rther Information and Payment
I understand that before complying with this request, you may require me to provide
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:
(a) proof of my identity;
(b) proof of the Data Subject’s identity if I am making this request as a relevant person and further
proof of my status as a relevant person;
(c) such further information as may be reasonably required for you to locate the Requested Data;
(d) payment of a fee charged under section 28 of the PDPO
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.
Part IX:
Use of Personal Data
Except with the prescribed consent of the individual concerned, the personal data provided in this Form
will be used for the purpose of processing this data access request and other directly related purposes
only.
___________________________
___________________________________________
Date
Signature of the Requestor
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Failure to provide the informa ion as requir d by the Data User under this Part may result in the data access request being refused,
or no being complied with t t esired extent.
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Sections 28(2) and (3) of the PDPO provide that fee may be charged for complying with a data access requ st made under section
18(1)(a) or (b), whic fee shall not be excessive. According to section 28(5) of the PDPO, compliance with a d ta access request
may be refus d unless and until any such fee has been paid.
Form OPS003 (revised 09/2012)