Fields marked with an asterix (*) are required.
Information which will NOT be shown on the website is highlighted in this colour.
1. Name and Address
If you are an individual or sole trader, give your surname and first name(s). A partnership should include the name of the firm and the names of each of the partners. Where the data controller is a company, the name of the company should be given, along with a trading name (if different) and the address should be that of the registered office. Persons other than companies should give the address of the principal place of business.
2. Nature of Data Processed
* A Please tick the sectors to which your clients belong:
3. Compliance Person
Details of individual who will supervise the application of the Acts within your organisation in relation to the personal data with which this application for registration is concerned
This is the person to whom we will address all correspondence in connection with this application for registration.
(if different from above)
Office of the Data Protection Commissioner. Canal House, Station Road, Portarlington, Co. Laois, R32 AP23, Ireland.
Phone +353 57 868 4800 & +353 761 104 8000 | LoCall 1890 25 22 31 | Fax +353 57 868 4757 | email email@example.com