Registration Form for Data Altruism Organisations

Note that this information will be published on the European Commission register of Data Services Intermediation Providers and by the CCPC– please clearly identify any confidential information in this form.

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Data Altruism Organisation Name*

Legal Status*

Are you registered in a public national register?*

Yes

Specify the country and the name of the register*

Registration number*

Public Website*

The website must have complete and up to date information on your organisation and its activities, including name, legal status, address, etc. *Must be in the format https:// or http://

Contact name*

First Last

Contact telephone number*

Contact email address*

Please provide a functional mailbox not associated to any person, so as to minimise the presence of personal data.

Enter Email Confirm Email

Other contact(s), if applicable

Describe the ownership structure*

Relevant Subsidiaries (if applicable)

Source of income*

Describe the objectives of general interest your organisation intends to promote when collecting data.*

See S.I. 734/2024 for a list of objectives of general interest - https://www.irishstatutebook.ie/eli/2024/si/734/made/en/

Address of main establishment in the Union*

Address Line 1 Address Line 2 City County / State Postal Code Country

Is Entity outside the EU?*

Yes

EU Legal Representative Contact Information

Include addresses, contact person names and email addresses

Do you provide or plan to provide data altruism services in more than one EU country?*

Yes

Please specify which other EU countries you intent to provide or plan to provide data altruism services*

Describe your data altruism organisation*

Describe the nature of the data you deal with*

Does your organisation collect personal data?*

Yes

Categories of personal data*

Describe how your organisation ensures it maintains complete and accurate records of all users*

Including their contact details, date and duration of the data processing (personal and non-personal); purpose of the data processing, as described by the user and potential fees paid by the user of the service.

Describe how you comply with the requirements of Article 21*

Include how you obtain consent for the use of personal data and how consent can be withdrawn; how you inform data subjects/data holders with information of data processing in a clear and easily comprehensible manner, including the purposes for sharing of personal data and any third country data processing; what measures you take to ensure an appropriate level of security; what mechanisms are in place to inform data holders in the event of an unauthorised transfer of its non-personal data.

Do you allow processing by third parties outside the EU, including parties that obtain consent from data subjects?*

Yes

In what non-EU country does this take place?*

Additional information

Confirm if you agree to receiving CCPC correspondence in electronic format*

I agree

I do not agree

Registration Form for Data Altruism Organisations

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