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Declaration Regarding Personal Data Processing Upon Matriculation in The Academic Year 2023/2024

The document is a declaration from a student regarding personal data processing for matriculation at the University POLITEHNICA of Bucharest for the 2023-2024 academic year. It includes the student's personal details and confirms they were informed of regulations regarding personal data protection. The student consents to the university processing their personal data for matriculation purposes in accordance with the law, such as publishing their name and results. The student is also informed of their rights related to personal data processing.

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Mridul Hasan Akash
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90 views

Declaration Regarding Personal Data Processing Upon Matriculation in The Academic Year 2023/2024

The document is a declaration from a student regarding personal data processing for matriculation at the University POLITEHNICA of Bucharest for the 2023-2024 academic year. It includes the student's personal details and confirms they were informed of regulations regarding personal data protection. The student consents to the university processing their personal data for matriculation purposes in accordance with the law, such as publishing their name and results. The student is also informed of their rights related to personal data processing.

Uploaded by

Mridul Hasan Akash
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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MINISTRY OF EDUCATION

University POLITEHNICA of Bucharest

DECLARATION
regarding personal data processing upon matriculation
in the academic year 2023/2024

1. LAST NAME AND FIRST NAME꞉ SHAFAT MD. SHAHRUKH AHMED


2. CNP:
3. Sex: MALE
4. Date of birth: 22ND AUGUST 1997
5. Place of birth: DHAKA
6. Marital status: Married / Single
7. Citizenship: BANGLADESH
8. Permanent address:
9. Identity document: series...... number...........................
10. Passport꞉ number...... number......................................
11. Contact data: mobile phone ........................................email............................................

in the capacity as a CANDIDATE, declare the following:

• I was informed about the provisions of the Regulations 679/26 April 2016 as to the
protection of physical persons regarding the personal data processing and regarding the
free circulation of these data.
• I was informed that I can benefit from the right to access, intervention on my data and the
right of not being subjected to an individual decision.
• I was informed that the personal character data are to be processed and stored within the
University POLITEHNICA of Bucharest for the aims provided in the legislation as
regards my capacity as a CANDIDATE.
• I was informed that my data processing is necessary in view of fulfilling the legal
obligations incumbent to the University POLITEHNICA of Bucharest, as an operator of
data with personal character registered under number 3291, to publish on the university
site the following information: last and first name, results obtained.

In accordance with the Regulations EU 2016/679 (GDPR), the terms used in what follows have
the meaning defined in the regulation and they are used in this sense within this document:

313, Splaiul Independenţei street, sector 6, 060042 - Bucharest, ROMANIA


MINISTRY OF EDUCATION
University POLITEHNICA of Bucharest

• Data with personal character: means that any information on an identified or identifiable
physical person; an identifiable physical person is a person that can be identified, directly
or indirectly, especially by reference to an identification element, such as a name, an
identification number, localization data, an online identifier, or to one or more specific
elements, specific to its physical, physiological, genetic, psychical, economic, cultural or
social identity;
• Processing: means any operations or set of operations carried out on the personal
character data or on the sets of personal character data, with or without the use of
automated means, such as collecting, registering, organization, structuring, storing,
adapting or modifying, extracting, consulting, using, disclosing by transmission,
dissemination or providing in any other manner, alignment or combination, restricting,
deleting or destroying.
In accordance with the provisions of art. 15-22 in GDPR, the undersigned
__________________________ was informed with regards to my rights and on the conditions
and consequences of exercising these rights, namely:
• The right to access data, the right to obtain a confirmation of the data that are processed
from me, as well as the right to access these data;
• The right to correct, the right to obtain correction or completion of inaccurate or
incomplete data;
• The right to delete data, the right to obtain deletion of data with personal character
concerning me, without unjustified delays, and the University POLITEHNICA of
Bucharest has the obligation to delete these data in the conditions of observance of the
legislation in force. Exercising the right to deletion of personal character data must be
carried out so that it should not affect the matriculation conditions, otherwise the
candidate assumes all consequences that derive from exercising the right to deleting of
data, including, in certain situations, the impossibility of matriculation;
• The right to restricting the processing, under the stipulations of art. 18 GDPR you have
the right to obtain from us the restriction of your data processing, on condition that such
restriction should not affect matriculation;
• The right to data portability, the right to receive your data with personal character, in a
structured format, currently used and that can be automatically read, and to transmit these
data to another operator, under certain circumstances;
• The right of not being the object of a decision based exclusively on the automated
processing, including creating of profiles;
• The right to make a complaint under the art. 77 GDPR with the National Supervisory
Authority for Personal Character Data Processing;
• The right to withdraw my consent at any moment, assuming in this case all the
consequences and without affecting the legality of personal data processing carried out by
UPB on the basis of the consent, before its withdrawal.

313, Splaiul Independenţei street, sector 6, 060042 - Bucharest, ROMANIA


MINISTRY OF EDUCATION
University POLITEHNICA of Bucharest

Taking into account the pre-enrolment procedure I have passed through, and taking note of the
university briefing about personal data processing by expressing my consent, I agree to be
matriculated in the academic year 2022-2023 and I give my consent that the University
POLITEHNICA of Bucharest, in the capacity as an authorized personal data operator, process the
data in view of matriculation in the academic year 2022-2023, in agreement with the institution
activity and in accordance with the legislation in effect.

Last name, first name


SIGNATURE Date:

313, Splaiul Independenţei street, sector 6, 060042 - Bucharest, ROMANIA

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