Subject Access Request Form Personal detailsUnder Article 15 GDPR an individual may request access to their personal data that the University of Malta (‘UM’) holds about them on their files. This right of access is not absolute and may be subject to certain restrictions. In addition, the rights of other individuals cannot be affected by a data access request. If you wish to make a Subject Access request (‘SAR’) please provide your personal details and data request specifics through the form below which is to be sent by email to dpo@um.edu.mt (please state Subject Access Request in the Subject Line) or by post to DPO Office, 63, Triq l-Esperanto, Msida, MSD 2011, Malta. Include as much detail as you can about the personal data that you specifically wish to access. This will enable UM staff to correctly source and identify your personal data held on file at the university. Please include all relevant details that will help to locate your data - for example, your staff or student number, details of UM Faculties; Institutes; Schools; Centres; Junior College; Departments/Offices etc. that you were associated with as well as the dates of your association. If you wish for a third party to submit a data access request on your behalf, such as a family member or solicitor) you must provide written authorisation to allow UM to disclose your personal data to that third party. In order to protect the security of personal data, it is necessary for you to provide proof of identification. A recent form of identification (copy only, no originals) must accompany this request. Proof of identification sent with your access request form will be securely destroyed once your identity has been verified.Name & Surname* First Last Address* Address Line Street City ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCuba°ä³Ü°ù²¹Ã§²¹´ÇCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone number*Email address* Choose the appropriate*StaffStudentStudent/Staff number*Dates at UM*Personal data requestUnder Article 15 GDPR I wish to access the following personal data that relates to me that is under the control of UM*Specific dates of my education/employment/other engagement at UM that are relevant to my request*Relevant UM Courses attended:*Year 1: Year 2: Year 3: Year 4: Year 5: Other years:Relevant places of employment at UM*I wish to receive the personal data via*EmailPostAdditional informationPlease include any additional information that you believe will assist in fulfilling your request