REQUEST FOR EXERCISING THE RIGHT OF ACCESS

To,

THE GENERAL INSPECTORATE OF THE ROMANIAN POLICE

Mihai-Voda Street, no. 4-6, district 5, Bucharest

I, the undersigned (surname and first name)

..................................................................
with domicile /residence in.................................. str. ......................... no. ..... bl. .....
.....ap.....,county/district...................personal identification
number................................... telephone no. .........................e-mail address
(optional),................................., pursuant to art. 62 of Law no. 141/2010 on the
establishment, organization and functioning of the National Information System of
Alerts and Romanias participation in the Schengen Information System, request
to be informed about my personal data being processed by your institution.

Considering the above, I request that appropriate legal measures should be taken
in order for me to receive the requested information, pursuant to Law no.
141/2010.
(Optional) I request that the measures taken for solving this petition should not be
made public.
(Optional) The petition is submitted by a representative (whose identification data
are mentioned)........................................................................................................
(Optional) I request that the information should be communicated to me at the
following
address:..............................................................................................................

DATE SIGNATURE