Data Protection Commissioner

Data Controller Application - Registration Form - Part 1

Step 1: Your Details »» Step 2: Personal data »» Step 3: Sensitive Data »» Step 4: Payment

It is important that you read the accompanying NOTES before completing this Form.

Use this Form if you are a data controller (or a data controller and data processor) who is required to register.

All data entered on this form is secured using SSL encryption.

Questions 1 to 6 (inclusive) comprise the Public Register, and may be inspected by members of the public at any time. No other disclosures of the information will be made.

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. Contact Person
     
Name or job status of person to whom applications for access to personal data should be sent:
     
*
 
 
     


NOTES
1. Knowingly to furnish false or misleading information is an offence.
2. It is also an offence knowingly (a) to keep personal data not specified on your applications, (b) to keep or use personal data for any purpose, or disclose personal data to any person or body, not described in those applications or (c) to transfer personal data to a country or territory not named at 6 below.
3. The information provided by you in this application will be held on computer by the Data Protection Commissioner, in accordance with section 16 (2) of the Data Protection Acts, 1988 & 2003.