Mae hwn yn fersiwn HTML o atodiad i'r cais Rhyddid Gwybodaeth 'personnel records'.



PRIVATE (When completed) 
MoD Form 1694 – Jan 08 
Ministry of Defence 
 Data Protection Act 1998  
 
Subject Access Request (SAR) Form 
 
 
 
Please write in BLACK in BLOCK CAPITAL LETTERS inside the boxes.   
I am the Data Subject (The person the information is about):  
   
I am acting on behalf of the Data Subject:  
 
 
  Please complete Parts 1, 3 and 4 plus Part 6 if necessary. 
If you are seeking information on behalf of someone who is unable to act for themselves, you must explain your relationship, what 
information you require and why it is required. Please note that information relating to someone else will not be disclosed without the 
data subject’s written consent or an appropriate Court Order or Power of Attorney. Accordingly I enclose:   
The Data Subject’s written consent to disclosure of the information requested at Part 3: 
 
A Court Order (e.g. Power of Attorney) permitting release of the information requested at Part 3:  
 
My relationship to the data subject is:              
 
(Please specify e.g. Doctor/Solicitor/Spouse/Civil Partner/Father/Mother/Brother/Sister) 
 
 
Part 1 – Data Subject Personal Details 
 
Surname:             
Full Forename(s):             
Title:             
 
 
Service/Staff No:             
Rank/Grade:             
Date of Birth: 
           
 
 
National              
Contact Tel. No:             
 
Insurance Number: 
 
MoD Service  
Civilian:  
 
Royal Navy: 
 
Date(s) of 
           
Date(s) of 
           
Joining: 
Leaving: 
 
 Army:  
 
Royal Air Force: 
 
           
           
 
Please provide the address that you want the information sent to plus your daytime telephone number (if different from 
above, in case we need to speak to you to discuss your request)
. If seeking information on behalf of someone else please 
provide your full name. 
Surname:             
Full Forename(s):             
Title:             
 
 
Address Line 1:             
Daytime Telephone:             
 
 
Address Line 2:             
County:             
 
 
Address Line 3:             
Postcode:             
 
 
Town:             
Country:             
 
 
 
Part 2 - What to do next 
Please complete Parts 3 and 4 plus Part 6, if necessary, and forward the form (plus written consent and/or court order if acting 
on behalf of the data subject) to the appropriate address below:
 
Royal Navy:  
RN Disclosure Cell, Mail Point G.2 Room 48, West 
ABRO: 
ADHR, ABRO, Building 203, Monxton Road, Andover, 
Battery, Whale Island, Portsmouth, PO2 8DX 
Hants 
Army: 
Army Personnel Centre Secretariat, Disclosures 2, Mail 
DARA: 
DARA  DPA Focal Point, DARA Personnel Centre,   
point 515, Kentigern House, 65 Brown Street, Glasgow, 
DARA Sealand, Building 15, Deeside, 
G2 8EX 
Flintshire CH5 2LS 
Royal Air 
RAF Disclosures Room 220, Trenchard Hall, RAF 
Hydrographic 
DPA Focal Point, UK Hydrographic Office, 
Force: 
Cranwell, Sleaford, Lincolnshire, NG34 0HB 
Office: 
Admiralty Way, Taunton, Somerset, TA1 2DN 
RFA 
RFA Pers Ops, Room 13, Mail Point G1, West Battery, 
Met. Office: 
Data Protection Officer, Met. Office, Green Island 1, 
Seafarers: 
Whale Island, Portsmouth, PO2 8DX 
Fitzroy Rd, Exeter, Devon, EX1 3PB 
DSTL: 
DSTL DPA Focal Point, Corporate Secretariat, Room 23, 
Other         
People Services, APIS, J Block, Foxhill, Bath, BA1 5AB 
Bldg 106, DSTL, Porton Down, Salisbury, Wilts, 
MoD Civilians: 
SP4 0JQ 
 
PRIVATE (When completed)  


PRIVATE (When completed) 
Data Protection Act 1998 - MOD Subject Access Request - MOD Form 1694   
 
Part 3 – Information Requested 
State clearly the information you require, with dates where known e.g. my medical records while serving at HMS Centurion 1990-1993 
Please provide as 
           
much information 
as possible to 
assist us in 
locating your data 

 
Continue using 
Part 6, if 
necessary
 
 
 
 
Please enter the number of Continuation Sheets used: 
     
 
 
  
The MoD will use the information provided to locate the data sought. Your request will be processed in accordance with 
 
Departmental personnel policies under the Data Protection Act 1998. 
 
Part 4 – Declaration by Requestor 
Verification of identity is required before your request can be processed: 
I enclose as verification of identity a photocopy of my: 
Passport:  
 
Driving Licence:  
 
Utility Bill:  
 
Other: 
   
I declare that, to the best of my knowledge, the information I have provided on this form is correct. 
 
Name in Capitals: 
           
 
 
           
Signature: 
Date: 
           
 
 
 
Part 5 – MoD Use Only 
 
Actioned By: 
           
Date Received: 
           
(Name in Capitals) 
SAR Reference No: 
 
Signature: 
           
Date Responded: 
           
 
           
 
 
PRIVATE (When completed) 

PRIVATE (When completed) 
Data Protection Act 1998 - MOD Subject Access Request - MOD Form 1694   
 
Part 6 – Information Requested Continuation Sheet   
Only use this sheet where you have been unable to detail all of the information you are requesting at Part 3. 
 
Name in Capitals:             
Service/Staff No:             
Date: 
           
 
 
 
Please provide as 
           
much information 
as possible to 
assist us in 
locating your data 

 
Continue using 
another Part 6 
sheet, if necessary
 
 
 
 
Continuation Sheet No:  
     
 
 
 
PRIVATE (When completed)