Please give proprietor, company name if limited, or official club or organisation name whatever is appropriate.

OWNER'S NAME  

Please give email address of person filling in this form.

CONTACT EMAIL

PLEASE TYPE EMAIL AGAIN

If a limited company please give...

COMPANY REGISTRATION NUMBER  

Head office, registered address, business address.

ADDRESS LINE1  

ADDRESS LINE 2  

CITY 

 COUNTY 

 POSTCODE

Premises where the CCTV system is located if different from owner's address.

Tick this box if same as above

If there are more than one premises, please state the total number here and enter one of them below.  You will be asked for the other addresses later 1 2 3 4 5 6 7 8 9 10

ADDRESS LINE 1  

ADDRESS LINE 2

CITY 

COUNTY 

POSTCODE

Person or entity who will manage the data. preferably the company or business name, official position of the person, e.g. club secretary, or simply the person's name. Our advice is to use the company or business name so that data controllers can be changed without altering the forms.

DATA CONTROLLER'S NAME  

DATA CONTROLLER'S TELEPHONE NUMBER 

This number should also be printed on the signs. It must be the number where the data controller can be contacted during normal working hours. Avoid private numbers if possible.

DATA CONTROLLER CAN NORMALLY BE LOCATED AT   Owners address Protected premises address

If both addresses are the same, please ignore this field.

Tick box if you have registered previously under this name for any section of the data protection act (e.g. computer data)  and that registration is still current If so, and it does not cover CCTV data, you can add CCTV data which will then cover you until expiry of the other category. We can do this for you if you wish - see below

If you have ticked the box above, tick this box if your registration covers CCTV data

If  you are not registered for CCTV data, tick here if you want us to register for you    If you simply need to add CCTV to your existing registration there is no extra registration fee, but we will charge an administration fee if we do it for you.

If you wish you can register online, or add CCTV to your existing registration, at the official Data Protection website. A CCTV template is available.

Tick this box if you have already completed an application form for CCTV data and submitted it to the commissioner, or are about to do so, but do not yet have a registration number   If so you need to inform us as soon as you know your registration number

Registration number if known  

Check the public register if you are not sure.            PUBLIC REGISTER LOOKUP

BY WHAT MAIN METHOD DO YOU RECORD IMAGES?

Digital hard disc recording          Video tape recording              No recording takes place

RECORDING TIME PER TAPE OR TIME CAPACITY OF HARD DISC?  (HOURS)         HELP ON THIS SUBJECT

Select if you will be operating hidden (covert) cameras at any time

Select if you will operate without having warning signs (covert CCTV)

Approved evidence bags for video tapes or CDs - PACKS REQUIRED  0 1 2 3 4 5 6 7 8 9 10

They come in packs of 10 for £15. Essential if the police need to take away a recording. They are numbered and have ball point pen write-in boxes as approved by the Public Prosecution Service.

Please give a rough estimate of the number of incidents likely to require police attendance in a one year period - if you rarely have such problems answer '0'   0 1 2 3 4 5 6 7 8 9 10 15 20 30

Please give a rough estimate of the number of staff or other persons who will have operational access to any part of the system   1 2 3 4 5 6 7 8 9 10 15 20 30 50

ANY OTHER INFORMATION YOU WISH TO GIVE 

Box expands for overflow. Please let us know if you want other items, extra packs and/or registration for different premises. Indicate here if previous answers do not exactly describe your system, e.g. covers several buildings, has shared ownership, has more than one recording device, system operated by the police or public body, etc. For any issues that are not straightforward, we will contact you to discuss them.

You may pay by any of the following means:

Bank Transfer - Simply instruct your bank to transfer the correct amount. (Our bank details will be emailed to you).  You can transfer by several means - Online Banking, Telephone Banking, Visiting your Bank, Payment to your Bank for forwarding.

Credit card on the Internet, using Paypal or normal credit card.

Cheque (Payee details will be emailed to you).

PAYMENT AMOUNT IS:

• £117 for standard data pack

• £177 for standard data pack and we register for you

• £65 for each extra pack where there are multiple premises  *

• £15 per pack of 10 evidence bags

HALF PRICE OFFER- tick box if you want to download and do your own printing

• £58 for download version - print yourself pack

• £118 for download version if we register for you 

• £32 for each extra pack for multiple premises - download version  *

MORE THAN ONE PREMISES

* In general you need to have one pack per system.  In some cases however, a single pack can be used, e.g. where two sets of premises are adjacent. If you think that just one pack will be sufficient, please tick this box

NB. Multiple premises with a common owner only have to register once for the group.

Do not add VAT

Please indicate which payment method you prefer   Credit Card Bank Transfer Cheque