East Dunbartonshire Council Mandate

GENERAL DATA PROTECTION REGULATIONS 2016

DATA PROTECTION ACT 2018

ELECTED REPRESENTATIVE CONSENT MANDATE

Elected Representative Consent Mandate for the sharing of personal information, including special category personal information

Details of the Elected Representative

Name of Elected Representative: RONA MACKAY MSP

Address of Elected Representative: 18a TOWNHEAD, KIRKINTILLOCH, G66 1NL

Telephone Number: 0141 776 1561

First Name

Last Name

Email Address

I hereby confirm that the information provided above is my personal information and it is true and accurate.

I hereby authorise my Elected Representative Rona Mackay MSP, to review and investigate my concern/enquiry on my behalf, and in doing I consent to my Elected Representative sharing my information with East Dunbartonshire Council. I also consent to them sharing my personal information with my Elected Representative insofar as it is necessary to respond to correspondence from my Elected Representative.

I hereby give my permission to my Elected Representative to process, provide and receive any and all of my information, including my personal information and special category personal information, which may be relevant to my complaint.

Sign

Today's Date

Date of Birth