Example personal data capture form

Page 1

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Personal Data Capture Form

Security Classification: Internal Use Only Date completed:

dd/mm/yyyy

Project or business ...

Credit card details

Provision of product upd...

Customer address

Website sale

Customer email address

(blank)

Customer IP address

Completed by: A.N. Other

Special category of personal data?

Obtained from data subject?

The name of the customer; sometimes different to the name of the person receiving support Email address of the customer; usually a business email but often a gmail or hotmail account Phone number, usually business but could be personal

No

Credit card details

Website sale

Customer address

6

Website sale

Customer IP address

7

Post-sale review requests

Customer name and email address

8

Newsletter

Customer name and email address

9

Provision of product updates Feedback survey requests

Customer name and email address Customer name and email address

11

Post-sales support

12

Product sample downloads

13

LinkedIn Connections

14

Pre-Sales Enquiries Customer name, company, email address and telephone number

15

Human Resources

Project or business process

Personal data item

Description

1

Website sale

Customer name

2

Website sale

Customer email address

3

Website sale

Customer telephone number

4

Website sale

5

Ref

10

Personal data item

Product sample downlo...

Customer name

Automated decisionmaking?

Lawful basis of processing

If consent-based, how is consent obtained?

Sales records and ongoing support

Contractual

Not applicable

No

Sales and Marketing Manager

Sales records and ongoing support

Contractual

Not applicable

No

Sales and Marketing Manager Sales and Marketing Manager Sales and Marketing Manager Sales and Marketing Manager Sales and Marketing Manager

Backup contact if email doesn't work - do we need this? Sale - details are not kept by us.

Contractual

Not applicable

No

Contractual

Not applicable

No

Sales approval via credit card; Contractual tax records; VAT charging

Not applicable

No

Evidence of location for tax purposes

UK law

Not applicable

No

Post-sales marketing of additional products

Consent

Not obtained

No

Yes

Sales and Marketing Manager

Post-sales marketing of additional products

Consent

Customer explictly signs up for the newsletter

No

No

Yes

Not applicable

No

Yes

Consent

Not obtained

No

Customer name and email address Customer name and email address

No

Yes

Contractual

Not applicable

No

No

Yes

Contractual

Not applicable

No

Customer name, company and location

No

Yes

Product Manager Communication that an update is available Product Manager Post-sale and annual feedback survey - issues and improvements Product Manager Product support and questions Sales and Provide samples of products Marketing on request by customer Manager Sales and Send connection request in Marketing LinkedIn Manager

Contractual

No

Consent

Customer explicitly accepts connection request

No

No

Yes

Sales and Marketing Manager

Respond to customer enquiries

Contractual

Not applicable

No

No

Yes

Managing Director

Payroll, tax and employment records

Contractual

Not applicable

No

Employee name, address, NI number, salary and bank account details

(a further 8 columns are not shown)

Owner

Processing purpose

Yes

Sales and Marketing Manager

No

Yes

No

Yes

Number, expiry and CVC of customer's credit card

No

Yes

Physical address including street, city, county, zip and country IP address of the purchaser at the time of purchase

No

Yes

No

Yes

Name and email address of the customer; usually a business email but often a gmail or hotmail account Name and email address of the customer; usually a business email but often a gmail or hotmail account May be different to the purchaser

No

Yes

No

Basic information required for employment


Actions The following actions have been identified from the Personal Data Capture Form: Ref. 1 2 3

Date Raised dd/mm/yyyy dd/mm/yyyy dd/mm/yyyy

Assessment Ref. 3 4 7,10

4

dd/mm/yyyy

7

5

dd/mm/yyyy

10

6 7

dd/mm/yyyy dd/mm/yyyy

11 15

Action Decide if telephone number is required to be captured Find out where Payment Processor stores its data Obtain consent for post-sale review requests and feedback survey requests Find out where Reviews Website stores its data and whether its encrypted Find out where Mailing Website stores its data and whether its encrypted Find out where File Sharing Website stores its data Ask Payroll Bureau about the controls they have in place, including any certifications

Who ANO ANO ANO

By When Narrative dd/mm/yyyy dd/mm/yyyy dd/mm/yyyy

Status Open Open Open

ANO

dd/mm/yyyy

Open

ANO

dd/mm/yyyy

Open

ANO ANO

dd/mm/yyyy dd/mm/yyyy

Open Open


Personal Data Capture Form - Completion Instructions The intention of this spreadsheet is to map out the capture and use of personal data for one or more business processes or projects. The intended meanings of the listed columns are as follows. Column Ref Project or business process Personal data item Description Special category of personal data?

Obtained from data subject? Owner Processing purpose Lawful basis of processing If consent-based, how is consent obtained? Automated decision-making? Level of data subject access Location stored Country stored in Retention period Encryption level Access controls Third parties shared with

Comments

Meaning A sequential reference number starting with 1 This could be the name of a new project or the name of an existing business process that processes personal data The actual data involved; this may be a single item or a logical group of data e.g. "customer name" or "customer name and address" More information about the data item(s), if required Does the personal data fall into one or more of the special categories defined by the GDPR, namely racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, genetic data, biometric data, data concerning health or data concerning a natural person's sex life or sexual orientation Was the data obtained from the data subject directly or was it obtained from another source, such as a supplied database The role that is responsible for the personal data The use that the personal data is put to e.g. "fulfilling a sale" or "sending marketing information" The rationale for why the processing is lawful under Article 6 of the GDPR. Options include consent, contractual and legal. If the lawful basis of the processing is consent, how does the data subject signify consent and how would this be evidenced? Does the business process involve a decision based solely on automated processing which may significantly affect the data subject What access does the data subject have to their personal data to exercise their rights e.g review it for accuracy and change it The physical place the data reside in e.g. a server or a filing cabinet The country the data are stored in i.e. the physical location of the servers that hold the data How long is the data kept for before being deleted or amended so that it no longer represents personal data Is appropriate encryption applied to the data Are appropriate access controls applied to the data Names of third parties with whom the data are shared i.e. those that will also hold and process the data on their own account (not simply hosting a storage location that you control) Any other relevant information


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