Please note:

  1. Signature is required for all application forms.
  2. Please print and sign on the hard copy after clicking on the ‘Submit’ button.
  3. You may proceed to fax/ email/ mail the completed form to our office.

Alternatively, you may print a blank form and complete them manually here.

  • Please provide a clear copy of the front and back of your NRIC/FIN for verification.
  • Enter the last 3 digits + last alphabet of your NRIC. E.g. use “567A” if the NRIC number is S1234567A
  • CONSENT TO PROCEED

      a) I declare and confirm that the personal data that I have provided on this form is accurate and complete.

      b) I consent to the collection, use and disclosure of the data for the purpose of complying with my Personal Data Access Request.

      c) I enclose my proof of identity.

      d) I understand that Police Co-op may impose a fee to process my Data Access Request and will provide an estimate of the fee for my consideration. If I do not agree to the payment of the fee, Police Co-op will not be able to process my Data Access Request.

      e) I further understand that Police Co-op reserves the right to restrict access to certain personal data or decline to fulfill my Data Access Request as may be permitted under the Personal Data Protection Act 2012.

Last Updated on June 25, 2021