Child Trust Fund - Subject Access Request

Part A

Title Miss
Surname Pastrana-Dix
Forename(s) Jennifer
Date of Birth 12-01-2004
National Insurance Number PJ668659D
If you were previously known by any other name, please provide details:
Surname
Forename(s)
If you are ‘looked-after’ (in care), please provide details of your responsible Local Authority:
Nation England
Local Authority
We need an email address to acknowledge that we have received the information you have completed on this form. If you do not have your own email address, please provide an email address where you are happy for an acknowledgement to be sent. If you would prefer not to receive an acknowledgment, please use the following email address in this field – dpfoi.noack@hmrc.gov.uk Please note: if this field is left blank your form will not be accepted.
Email address jenniferpdix@hotmail.com
Current address:
Address line 1 14 Dominic Drive Address line 2 Cotteridge
Address line 3 Kings Norton Postcode B30 1DW
City Birmingham County West Midlands
Please indicate below your previous address if applicable:
Address line 1 Address line 2
Address line 3 Postcode
City County
TSF Ref: 9993d4e1-bc10-43a3-b1b5-9d6b36f7fda2
If you are under 16 please indicate contact details for a responsible adult:
Forename(s)
Surname
Email

Part B

Please provide details of the account provider and registered contact for my Child Trust Fund

Part C

IMPORTANT: Please enter in the space below the following information:

  • Any HM Revenue & Customs office addresses and reference numbers
  • Any other details you feel will assist us in tracing and retrieving your Child Trust Fund information.

Further details:

Part D

I declare that I am the person named in Part A and that I am entitled to request personal information under the terms of the Data Protection Act 2018.

I also hereby give my consent to HM Revenue & Customs to disclose information held on my Child Trust Fund to The Share Foundation Ltd. (reg. charity 1108068, address: 1st Floor, Ardenham Court, Oxford Road, Aylesbury HP19 8HT) who are acting on my behalf in making this request, including confirmation that account provider details have been supplied to me.

I also authorise The Share Foundation to provide my contact information to my account provider once its identity has been established, and my account provider to provide confirmation to The Share Foundation of the date when I have taken control of my account.

I agree with the above declaration

Signed: ............................................. <<< You must tick the box above and sign here!

Date: ................................... dd/mm/yyyy