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<label class=" required control-label cf_what_would_you_like_to_request_764238-label " for="helpdesk_ticket_cf_what_would_you_like_to_request_764238">What would you like to request?</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_what_would_you_like_to_request_764238]" id="helpdesk_ticket_custom_field_cf_what_would_you_like_to_request_764238"><option value="">...</option> <option data-id="7000144707" value="Rectification request">Rectification request</option> <option data-id="7000144708" value="Right to Erasure">Right to Erasure</option> <option data-id="7000144716" value="SAR Request">SAR Request</option></select> </div>
<label class=" required control-label cf_title_764238-label " for="helpdesk_ticket_cf_title_764238">Title</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_title_764238]" id="helpdesk_ticket_custom_field_cf_title_764238"><option value="">...</option> <option data-id="7000144709" value="Mr">Mr</option> <option data-id="7000144710" value="Mrs">Mrs</option> <option data-id="7000144711" value="Miss">Miss</option> <option data-id="7000144712" value="Ms">Ms</option></select> </div>
<label class=" required control-label cf_first_name_764238-label " for="helpdesk_ticket_cf_first_name_764238">First Name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_first_name_764238]" id="helpdesk_ticket_custom_field_cf_first_name_764238" /> </div>
<label class=" required control-label cf_surname_764238-label " for="helpdesk_ticket_cf_surname_764238">Surname</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_surname_764238]" id="helpdesk_ticket_custom_field_cf_surname_764238" /> </div>
<label class=" required control-label cf_contact_number_764238-label " for="helpdesk_ticket_cf_contact_number_764238">Contact Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_contact_number_764238]" id="helpdesk_ticket_custom_field_cf_contact_number_764238" /> </div>
<label class=" required control-label cf_date_of_birth_764238-label " for="helpdesk_ticket_cf_date_of_birth_764238">Date of Birth</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_date_of_birth_764238]" id="helpdesk_ticket_custom_field_cf_date_of_birth_764238" class=" required date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div>
<label class=" required control-label cf_current_address_764238-label " for="helpdesk_ticket_cf_current_address_764238">Current Address</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_current_address_764238]" id="helpdesk_ticket_custom_field_cf_current_address_764238"> </textarea> </div>
<label class=" required control-label cf_details_of_identification_provided_to_confirm_name_of_data_subject_764238-label " for="helpdesk_ticket_cf_details_of_identification_provided_to_confirm_name_of_data_subject_764238">Details of identification provided to confirm name of data subject</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_details_of_identification_provided_to_confirm_name_of_data_subject_764238]" id="helpdesk_ticket_custom_field_cf_details_of_identification_provided_to_confirm_name_of_data_subject_764238"> </textarea> </div>
<label class=" required control-label cf_email_address_764238-label " for="helpdesk_ticket_cf_email_address_764238">Email Address</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_email_address_764238]" id="helpdesk_ticket_custom_field_cf_email_address_764238" /> </div>
<label class=" required control-label cf_are_you_acting_on_behalf_of_the_data_subject_with_their_written_or_other_legal_authority_764238-label " for="helpdesk_ticket_cf_are_you_acting_on_behalf_of_the_data_subject_with_their_written_or_other_legal_authority_764238">Are you acting on behalf of the data subject with their [written] or other legal authority?</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_are_you_acting_on_behalf_of_the_data_subject_with_their_written_or_other_legal_authority_764238]" id="helpdesk_ticket_custom_field_cf_are_you_acting_on_behalf_of_the_data_subject_with_their_written_or_other_legal_authority_764238"><option value="">...</option> <option data-id="7000144713" value="Yes">Yes</option> <option data-id="7000144714" value="No">No</option></select> </div>
<label class=" required control-label cf_if_yes_please_state_your_relationship_with_the_data_subject_eg_parent_legal_guardian_or_solicitor_764238-label " for="helpdesk_ticket_cf_if_yes_please_state_your_relationship_with_the_data_subject_eg_parent_legal_guardian_or_solicitor_764238">If 'Yes' please state your relationship with the data subject (e.g. parent, legal guardian or solicitor)</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_if_yes_please_state_your_relationship_with_the_data_subject_eg_parent_legal_guardian_or_solicitor_764238]" id="helpdesk_ticket_custom_field_cf_if_yes_please_state_your_relationship_with_the_data_subject_eg_parent_legal_guardian_or_solicitor_764238" /> </div>
<div class="controls"> <label class="checkbox required"> <input type="checkbox" name="helpdesk_ticket[custom_field][cf_please_ensure_you_have_checked_the_form_and_attached_2_forms_of_id_764238]" id="helpdesk_ticket_custom_field_cf_please_ensure_you_have_checked_the_form_and_attached_2_forms_of_id_764238_7000144309" value="1" class=" required checkbox section_field" /> Please ensure you have checked the form and attahced 2 forms of ID </label> </div>
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Personal Reference
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