Request for provision of information on personal data processed in the Schengen Information System
Ministerstvo vnútra SR
Prezídium Policajného zboru
úrad medzinárodnej policajnej spolupráce
národná ústredňa SIRENE
Pribinova 2
812 72 Bratislava
Slovakia
sirene@minv.sk

Under the Article 53 of the Regulation (EU) 2018/1861 of the European Parliament and of the Council of 28 November 2018 on the establishment, operation and use of the Schengen Information System (SIS) in the field of border checks, and amending the Convention implementing the Schengen Agreement, and amending and repealing Regulation (EC) No 1987/2006 and of the Article 67 of the Regulation (EU) 2018/1862 of the European Parliament and of the Council of 28 November 2018 on the establishment, operation and use of the Schengen Information System (SIS) in the field of police cooperation and judicial cooperation in criminal matters, amending and repealing Council Decision 2007/533/JHA, and repealing Regulation (EC) No 1986/2006 of the European Parliament and of the Council and Commission Decision 2010/261/EU and pursuant to the Act No. 18/2018 Coll. on the personal data protection and amending and supplementing certain Acts as amended by Act No. 221/2019 Coll., I require a provision of information on personal data processed in the Schengen Information System concerning myself.
1. Personal Information
First name(s): 	 	
Surname:	 	
Place of permanent residence:	 	
Date of birth:	 	
Place of birth:	 	
Nationality:	 	
Delivery address or email:		
2. As proof of my identity I enclose the following:
A copy of the identity document (identity card, passport or other document under paragraph 18(2)(a) to (e) of the Act No.171/1993 Coll. on the Police Force as last amended)
No..........................issued on.................................... by............................................................................
3. Other data completing the request:
4. Date and place of submission of the request

5. Signature 

If  your request is sent through a person authorised by yourself, it is required to  attach the copy of the procuration to the request.