Data Protection Act consent form

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Permission to store and process your data

Hertfordshire Community Nurses’ Charity (HCNC) is a Charitable Incorporated Organisation (CIO). In order for it to operate, it needs to gather, store and use certain forms of information about individuals. These can include Trustees, employees, tenants, contractors, previous grant applicants and potential grant applicants, and other people the CIO has a relationship with or regularly needs to contact.

Please refer to our Data Protection Policy and Data Retention Policy both of which can be found on our web site.

To comply with the Data Protection Act (1998) we must ask for your permission to store and process your personal data for this purpose. The Client Information Sheet explains why this is important.

If you’d like more information, please ask the person responsible for Data Protection for HCNC: helen@hertscommunitynursescharity.co.uk

Name*
First Last
Email
I give my consent to Hertfordshire Community Nurses’ Charity to record and store personal information about me as outlined in their Data Protection and Data Retention Policies*
- Yes
- No
Signature
Date
DD slash MM slash YYYY
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Hertfordshire Community Nurses’ Charity Assisting working or retired Community Nurses and providing funds for projects in the county

Data Protection Act consent form

Permission to store and process your data

Registered Charity

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Rosemary House