MINISTRY OF EDUCATION
National University of Science and Technology
Politehnica Bucharest
DECLARATION
regarding personal data processing upon matriculation
in the academic year
………………….
1. LAST NAME AND FIRST NAME꞉
2. CNP:
3. Sex:
4. Date of birth:
5. Place of birth:
6. Marital status: Married / Single
7. Citizenship:
8. Permanent address:
9. Identity document: series...... number...........................
10. Passport꞉ number...... number......................................
11. Contact data: mobile phone ........................................email............................................
in the capacity as a CANDIDATE, declare the following:
I was informed about the provisions of the Regulations 679/26 April 2016 as to the
protection of physical persons regarding the personal data processing and regarding the
free circulation of these data.
I was informed that I can benefit from the right to access, intervention on my data and the
right of not being subjected to an individual decision.
I was informed that the personal character data are to be processed and stored within the
National University of Science and Technology Politehnica Bucharest for the aims
provided in the legislation as regards my capacity as a CANDIDATE.
I was informed that my data processing is necessary in view of fulfilling the legal
obligations incumbent to the National University of Science and Technology Politehnica
Bucharest, as an operator of data with personal character registered under number 3291,
to publish on the university site the following information: last and first name, results
obtained.
In accordance with the Regulations EU 2016/679 (GDPR), the terms used in what follows
have the meaning defined in the regulation and they are used in this sense within this document:
313, Splaiul Independenţei street, sector 6, 060042 - Bucharest, ROMANIA
MINISTRY OF EDUCATION
National University of Science and Technology
Politehnica Bucharest
Data with personal character: means that any information on an identified or identifiable
physical person; an identifiable physical person is a person that can be identified, directly
or indirectly, especially by reference to an identification element, such as a name, an
identification number, localization data, an online identifier, or to one or more specific
elements, specific to its physical, physiological, genetic, psychical, economic, cultural or
social identity;
Processing: means any operations or set of operations carried out on the personal
character data or on the sets of personal character data, with or without the use of
automated means, such as collecting, registering, organization, structuring, storing,
adapting or modifying, extracting, consulting, using, disclosing by transmission,
dissemination or providing in any other manner, alignment or combination, restricting,
deleting or destroying.
In accordance with theprovisions of art. 15-22 in GDPR, the undersigned
was informed with regards to my rights and on the conditions
and consequences of exercising these rights, namely:
The right to access data, the right to obtain a confirmation of the data that are processed
from me, as well as the right to access these data;
The right to correct, the right to obtain correction or completion of inaccurate or
incomplete data;
The right to delete data, the right to obtain deletion of data with personal character
concerning me, without unjustified delays, and the National University of Science and
Technology Politehnica Bucharest has the obligation to delete these data in the conditions
of observance of the legislation in force. Exercising the right to deletion of personal
character data must be carried out so that it should not affect the matriculation conditions,
otherwise the candidate assumes all consequences that derive from exercising the right to
deleting of data, including, in certain situations, the impossibility of matriculation;
The right to restricting the processing, under the stipulations of art. 18 GDPR you have
the right to obtain from us the restriction of your data processing, on condition that such
restriction should not affect matriculation;
The right to data portability, the right to receive your data with personal character, in a
structured format, currently used and that can be automatically read, and to transmit these
data to another operator, under certain circumstances;
The right of not being the object of a decision based exclusively on the automated
processing, including creating of profiles;
The right to make a complaint under the art. 77 GDPR with the National Supervisory
Authority for Personal Character Data Processing;
The right to withdraw my consent at any moment, assuming in this case all the
consequences and without affecting the legality of personal data processing carried out by
UPB on the basis of the consent, before its withdrawal.
313, Splaiul Independenţei street, sector 6, 060042 - Bucharest, ROMANIA
MINISTRY OF EDUCATION
National University of Science and Technology
Politehnica Bucharest
Taking into account the pre-enrolment procedure I have passed through, and taking note of
the university briefing about personal data processing by expressing my consent, I agree to be
matriculated in the academic year …………………. and I give my consent that the National
University of Science and Technology Politehnica Bucharest, in the capacity as an
authorized personal data operator, process the data in view of matriculation in the
academic year …………………., in agreement with the institution activity and in
accordance with the legislation in effect.
Last name, first name
SIGNATURE Date:
313, Splaiul Independenţei street, sector 6, 060042 - Bucharest, ROMANIA
