1104
| ID | 1104 |
|---|
| Data | 2013-03-26 |
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| Symbol | 2013/03/26/1104 |
|---|
| Instytucja | Generalny Inspektor Ochrony Danych Osobowych |
|---|
| Nazwa | Zawiadomienie o naruszeniu danych osobowych |
|---|
| Czy Aktualny | 0 |
|---|
Ustawy (1)
| URI://Dziennik_Ustaw/2011/206/1216/27/2 | Par. 27 ust. 2 rozporządzenia Prezesa Rady Ministrów z dnia 14 września 2011r. w sprawie sporządzania pism w postaci dokumentów elektronicznych, doręczania dokumentów elektronicznych oraz udostępniania formularzy, wzorów i kopii dokumentów elektronic... |
|---|
Pliki
Styl
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<tr>
<td height="1" width="1"/>
<td height="1" width="159"/>
<td height="1" width="1"/>
<td height="1" width="20"/>
<td height="1" width="1"/>
<td height="1" width="104"/>
</tr>
<tr>
<td colspan="2" width="160">
<span class="p1g23">
<div class="etiquette_p1g23">ul. Stawki 2</div>
</span>
</td>
<td width="1"/>
<td width="20"/>
<td width="1"/>
<td width="104"/>
</tr>
<tr>
<td height="1" width="1"/>
<td height="1" width="159"/>
<td height="1" width="1"/>
<td height="1" width="20"/>
<td height="1" width="1"/>
<td height="1" width="104"/>
</tr>
<tr>
<td width="1"/>
<td colspan="2" width="160">
<span class="p1g24">
<div class="etiquette_p1g24">00-193 Warszawa</div>
</span>
</td>
<td width="20"/>
<td width="1"/>
<td width="104"/>
</tr>
<tr>
<td height="3" width="1"/>
<td height="3" width="159"/>
<td height="3" width="1"/>
<td height="3" width="20"/>
<td height="3" width="1"/>
<td height="3" width="104"/>
</tr>
</table>
</div>
</div>
</td>
<td height="99" width="2"/>
<td height="99" width="1"/>
<td height="99" width="1"/>
<td height="99" width="2"/>
</tr>
<tr>
<td height="136" width="1"/>
<td height="136" width="126"/>
<td height="136" width="1"/>
<td height="136" width="159"/>
<td height="136" width="127"/>
<td height="136" width="2"/>
<td height="136" width="1"/>
<td height="136" width="1"/>
<td height="136" width="2"/>
</tr>
<tr>
<td height="38" width="1"/>
<td height="38" width="376"/>
<td height="38" width="126"/>
<td height="38" width="1"/>
<td height="38" width="159"/>
<td height="38" width="127"/>
<td height="38" width="2"/>
<td height="38" width="1"/>
<td height="38" width="1"/>
<td height="38" width="2"/>
</tr>
<tr>
<td height="585" width="1"/>
<td colspan="9" height="593" rowspan="2" width="795">
<div class="fakeGroup13">
<table>
<tr>
<td width="110"/>
<td width="3"/>
<td width="57"/>
<td width="18"/>
<td colspan="3" width="488">
<span class="p1g25">
<div class="etiquette_p1g25">Zawiadomienie o naruszeniu danych osobowych</div>
</span>
</td>
<td width="116"/>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="17" width="110"/>
<td height="17" width="3"/>
<td height="17" width="57"/>
<td height="17" width="18"/>
<td height="17" width="35"/>
<td height="17" width="395"/>
<td height="17" width="58"/>
<td height="17" width="116"/>
<td height="17" width="1"/>
<td height="17" width="1"/>
<td height="17" width="1"/>
</tr>
<tr>
<td colspan="11" width="795">
<span class="p1g26">
<div class="etiquette_p1g26">Na podstawie art. 174a ust. 1 ustawy z dnia 16 lipca 2004 r. Prawo telekomunikacyjne (Dz. U. Nr 171, poz. 1800 z późn. zm.), zawiadamiam Generalnego Inspektora Ochrony Danych Osobowych o naruszeniu danych osobowych. </div>
</span>
</td>
</tr>
<tr>
<td height="1" width="110"/>
<td height="1" width="3"/>
<td height="1" width="57"/>
<td height="1" width="18"/>
<td height="1" width="35"/>
<td height="1" width="395"/>
<td height="1" width="58"/>
<td height="1" width="116"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
</tr>
<tr>
<td colspan="9" width="793">
<span class="p1g27">
<div class="etiquette_p1g27">1) Data oraz godzina stwierdzenia naruszenia danych osobowych:</div>
</span>
</td>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="1" width="110"/>
<td height="1" width="3"/>
<td height="1" width="57"/>
<td height="1" width="18"/>
<td height="1" width="35"/>
<td height="1" width="395"/>
<td height="1" width="58"/>
<td height="1" width="116"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
</tr>
<tr>
<td height="37" width="110">
<span class="p1g28">
<label class="p1g28_label">Data</label>
<div class="p1g28_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:Data,' ',' ')"/>
</div>
</span>
</td>
<td height="37" width="3"/>
<td colspan="3" height="37" width="110">
<span class="p1g29">
<label class="p1g29_label">Godzina</label>
<div class="p1g29_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:Godzina,' ',' ')"/>
</div>
</span>
</td>
<td height="37" width="395"/>
<td height="37" width="58"/>
<td height="37" width="116"/>
<td height="37" width="1"/>
<td height="37" width="1"/>
<td height="37" width="1"/>
</tr>
<tr>
<td colspan="10" width="794">
<span class="p1g32">
<label class="p1g32_label">Uwagi</label>
<div class="p1g32_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:Uwagi,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
<td width="1"/>
</tr>
<tr>
<td height="12" width="110"/>
<td height="12" width="3"/>
<td height="12" width="57"/>
<td height="12" width="18"/>
<td height="12" width="35"/>
<td height="12" width="395"/>
<td height="12" width="58"/>
<td height="12" width="116"/>
<td height="12" width="1"/>
<td height="12" width="1"/>
<td height="12" width="1"/>
</tr>
<tr>
<td colspan="6" width="618">
<span class="p1g30">
<div class="etiquette_p1g30">2) Ilość abonentów lub użytkowników końcowych, których dane osobowe zostały naruszone:</div>
</span>
</td>
<td width="58"/>
<td width="116"/>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="3" width="110"/>
<td height="3" width="3"/>
<td height="3" width="57"/>
<td height="3" width="18"/>
<td height="3" width="35"/>
<td height="3" width="395"/>
<td height="3" width="58"/>
<td height="3" width="116"/>
<td height="3" width="1"/>
<td height="3" width="1"/>
<td height="3" width="1"/>
</tr>
<tr>
<td colspan="3" width="170">
<span class="p1g31">
<div class="p1g31_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:LiczbaAbonentow,' ',' ')"/>
</div>
</span>
</td>
<td width="18"/>
<td width="35"/>
<td width="395"/>
<td width="58"/>
<td width="116"/>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="8" width="110"/>
<td height="8" width="3"/>
<td height="8" width="57"/>
<td height="8" width="18"/>
<td height="8" width="35"/>
<td height="8" width="395"/>
<td height="8" width="58"/>
<td height="8" width="116"/>
<td height="8" width="1"/>
<td height="8" width="1"/>
<td height="8" width="1"/>
</tr>
<tr>
<td colspan="10" width="794">
<span class="p1g32">
<label class="p1g32_label">3) Opis okoliczności naruszenia danych osobowych</label>
<div class="p1g32_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:OpisOkolicznosciNaruszenia,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
<td width="1"/>
</tr>
<tr>
<td height="15" width="110"/>
<td height="15" width="3"/>
<td height="15" width="57"/>
<td height="15" width="18"/>
<td height="15" width="35"/>
<td height="15" width="395"/>
<td height="15" width="58"/>
<td height="15" width="116"/>
<td height="15" width="1"/>
<td height="15" width="1"/>
<td height="15" width="1"/>
</tr>
<tr>
<td colspan="10" width="794">
<span class="p1g33">
<div class="etiquette_p1g33">4) Czy naruszenie danych osobowych może mieć niekorzystny wpływ na prawa abonenta lub użytkownika końcowego będącego osobą fizyczną?</div>
</span>
</td>
<td width="1"/>
</tr>
<tr>
<td height="1" width="110"/>
<td height="1" width="3"/>
<td height="1" width="57"/>
<td height="1" width="18"/>
<td height="1" width="35"/>
<td height="1" width="395"/>
<td height="1" width="58"/>
<td height="1" width="116"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
</tr>
<tr>
<td colspan="3" width="170">
<span class="p1g34">
<div class="p1g34_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:NiekorzystnyWplywNaPrawa,' ',' ')"/>
</div>
</span>
</td>
<td width="18"/>
<td width="35"/>
<td width="395"/>
<td width="58"/>
<td width="116"/>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="3" width="110"/>
<td height="3" width="3"/>
<td height="3" width="57"/>
<td height="3" width="18"/>
<td height="3" width="35"/>
<td height="3" width="395"/>
<td height="3" width="58"/>
<td height="3" width="116"/>
<td height="3" width="1"/>
<td height="3" width="1"/>
<td height="3" width="1"/>
</tr>
<tr>
<td colspan="8" width="792">
<span class="p1g35">
<div class="etiquette_p1g35">5) Czy dostawca publicznie dostępnych usług telekomunikacyjnych wdrożył przewidziane przepisami o ochronie danych osobowych odpowiednie techniczne i organizacyjne środki ochrony, które uniemożliwiają odczytanie danych przez osoby nieuprawnione oraz zastosował je do danych, których ochrona została naruszona?</div>
</span>
</td>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="1" width="110"/>
<td height="1" width="3"/>
<td height="1" width="57"/>
<td height="1" width="18"/>
<td height="1" width="35"/>
<td height="1" width="395"/>
<td height="1" width="58"/>
<td height="1" width="116"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
<td height="1" width="1"/>
</tr>
<tr>
<td colspan="3" width="170">
<span class="p1g36">
<div class="p1g36_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:TechniczneOrganizacyjneSrodkiOchrony,' ',' ')"/>
</div>
</span>
</td>
<td width="18"/>
<td width="35"/>
<td width="395"/>
<td width="58"/>
<td width="116"/>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="6" width="110"/>
<td height="6" width="3"/>
<td height="6" width="57"/>
<td height="6" width="18"/>
<td height="6" width="35"/>
<td height="6" width="395"/>
<td height="6" width="58"/>
<td height="6" width="116"/>
<td height="6" width="1"/>
<td height="6" width="1"/>
<td height="6" width="1"/>
</tr>
<tr>
<td colspan="8" width="792">
<span class="p1g37">
<div class="etiquette_p1g37">6) Czy dostawca publicznie dostępnych usług telekomunikacyjnych poinformował abonenta lub użytkownika końcowego, będącego osobą fizyczną o wystąpieniu naruszenia jego danych osobowych ?</div>
</span>
</td>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td height="7" width="110"/>
<td height="7" width="3"/>
<td height="7" width="57"/>
<td height="7" width="18"/>
<td height="7" width="35"/>
<td height="7" width="395"/>
<td height="7" width="58"/>
<td height="7" width="116"/>
<td height="7" width="1"/>
<td height="7" width="1"/>
<td height="7" width="1"/>
</tr>
<tr>
<td colspan="3" width="170">
<span class="p1g38">
<div class="p1g38_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:InfromacjaONaruszeniu,' ',' ')"/>
</div>
</span>
</td>
<td width="18"/>
<td width="35"/>
<td width="395"/>
<td width="58"/>
<td width="116"/>
<td width="1"/>
<td width="1"/>
<td width="1"/>
</tr>
<tr>
<td colspan="8" width="793">
<div class="area_p1g50">
<xsl:for-each select="//wnio:TrescDokumentu/wnio:TrescZawiadomienia/str:Zalaczniki/str:Zalacznik[str:OpisZalacznika='1']">
<div class="p1g50_group">
<table>
<tr>
<td height="5" width="4"/>
<td height="5" width="783"/>
<td height="5" width="6"/>
</tr>
<tr>
<td width="4"/>
<td width="783">
<span class="p1g51">
<label class="p1g51_label">Załącznik</label>
<div class="p1g51_value" style="border: 1px solid black;">
<xsl:value-of select="concat(str:DaneZalacznika/../@nazwaPliku, ' ')"/>
</div>
</span>
</td>
<td width="6"/>
</tr>
<tr>
<td height="4" width="4"/>
<td height="4" width="783"/>
<td height="4" width="6"/>
</tr>
</table>
</div>
</xsl:for-each>
</div>
</td>
<td width="2"/>
</tr>
</table>
</div>
</td>
</tr>
<tr>
<td height="8" width="1"/>
</tr>
<tr>
<td height="66" width="1"/>
<td height="66" width="2"/>
</tr>
<tr>
<td height="20" width="1"/>
<td height="20" width="376"/>
<td height="20" width="126"/>
<td height="20" width="1"/>
<td height="20" width="159"/>
<td height="20" width="127"/>
<td height="20" width="2"/>
<td height="20" width="1"/>
<td height="20" width="1"/>
<td height="20" width="2"/>
</tr>
<tr>
<td width="1"/>
<td colspan="8" width="793">
<div class="fakeGroup14">
<table>
<tr>
<td colspan="3" width="793">
<span class="p1g41">
<label class="p1g41_label">7) Opis charakteru naruszenia danych osobowych oraz zakładane ryzyko związane z naruszeniem:</label>
<div class="p1g41_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:OpisCharakteruNaruszenia,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="25" width="160"/>
<td height="25" width="631"/>
<td height="25" width="2"/>
</tr>
<tr>
<td colspan="3" width="793">
<span class="p1g42">
<label class="p1g42_label">8) Dane kontaktowe dostawcy publicznie dostępnych usług telekomunikacyjnych, umożliwiające uzyskanie informacji dotyczących naruszenia ochrony danych osobowych:</label>
<div class="p1g42_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:DaneKontaktowe,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="25" width="160"/>
<td height="25" width="631"/>
<td height="25" width="2"/>
</tr>
<tr>
<td colspan="3" width="793">
<span class="p1g43">
<label class="p1g43_label">9) Informacje o zalecanych środkach mających na celu złagodzenie ewentualnych niekorzystnych skutków naruszenia danych osobowych:</label>
<div class="p1g43_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:InformacjaOZalecanychSrodkach,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="27" width="160"/>
<td height="27" width="631"/>
<td height="27" width="2"/>
</tr>
<tr>
<td colspan="3" width="793">
<span class="p1g44">
<label class="p1g44_label">10) Informacje o działaniach podjętych przez dostawcę publicznie dostępnych usług telekomunikacyjnych:</label>
<div class="p1g44_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:InformacjaOPodjetymDzialaniu,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="26" width="160"/>
<td height="26" width="631"/>
<td height="26" width="2"/>
</tr>
<tr>
<td colspan="3" width="793">
<span class="p1g45">
<label class="p1g45_label">11) Informacje o fakcie poinformowania lub braku poinformowania abonenta lub użytkownika końcowego, będącego osobą fizyczną o wystąpieniu naruszenia danych osobowych:</label>
<div class="p1g45_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:InformacjaOFakciePoinformowania,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="21" width="160"/>
<td height="21" width="631"/>
<td height="21" width="2"/>
</tr>
<tr>
<td colspan="3" width="793">
<span class="p1g46">
<label class="p1g46_label">12) Opis skutków naruszenia danych osobowych:</label>
<div class="p1g46_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:SkutkiNaruszenia,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="22" width="160"/>
<td height="22" width="631"/>
<td height="22" width="2"/>
</tr>
<tr>
<td colspan="3" width="793">
<span class="p1g47">
<label class="p1g47_label">13) Opis proponowanych przez dostawcę publicznie dostępnych usług telekomunikacyjnych środków naprawczych:</label>
<div class="p1g47_value" style="border: 1px solid black;">
<pre>
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:SrodkiNaprawcze,' ',' ')"/>
<xsl:text/>
</pre>
</div>
</span>
</td>
</tr>
<tr>
<td height="39" width="160"/>
<td height="39" width="631"/>
<td height="39" width="2"/>
</tr>
<tr>
<td width="160">
<span class="p1g48">
<div class="etiquette_p1g48">Załączniki:</div>
</span>
</td>
<td width="631"/>
<td width="2"/>
</tr>
<tr>
<td height="10" width="160"/>
<td height="10" width="631"/>
<td height="10" width="2"/>
</tr>
<tr>
<td colspan="2" width="791">
<span class="p1g49">
<label class="p1g49_label">Oświadczenie:</label>
<div class="p1g49_value" style="border: 1px solid black;">
<xsl:value-of select="translate(//wnio:TrescDokumentu/wnio:TrescZawiadomienia/wnio:Oswiadczenie,' ',' ')"/>
</div>
</span>
</td>
<td width="2"/>
</tr>
</table>
</div>
</td>
<td width="2"/>
</tr>
<tr>
<td height="33" width="1"/>
<td height="33" width="376"/>
<td height="33" width="126"/>
<td height="33" width="1"/>
<td height="33" width="159"/>
<td height="33" width="127"/>
<td height="33" width="2"/>
<td height="33" width="1"/>
<td height="33" width="1"/>
<td height="33" width="2"/>
</tr>
<tr>
<td width="1"/>
<td colspan="8" width="793">
<div class="area_p1g50">
<xsl:for-each select="//wnio:TrescDokumentu/wnio:TrescZawiadomienia/str:Zalaczniki/str:Zalacznik[str:OpisZalacznika='0']">
<div class="p1g50_group">
<table>
<tr>
<td height="5" width="4"/>
<td height="5" width="783"/>
<td height="5" width="6"/>
</tr>
<tr>
<td width="4"/>
<td width="783">
<span class="p1g51">
<label class="p1g51_label">Załącznik</label>
<div class="p1g51_value" style="border: 1px solid black;">
<xsl:value-of select="concat(str:DaneZalacznika/../@nazwaPliku, ' ')"/>
</div>
</span>
</td>
<td width="6"/>
</tr>
<tr>
<td height="4" width="4"/>
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<span class="p1g52">
<div class="etiquette_p1g52">Na podstawie art. 24 ust. 1 ustawy z dnia 29 sierpnia 1997 roku o ochronie danych osobowych (Dz. U. z 2002 r. Nr 101, poz. 926 z późn. zm.) informuję, że administratorem danych jest Generalny Inspektor Danych Osobowych (GIODO) z siedzibą w Warszawie, przy ul. Stawki 2. Dane są przetwarzane w celu rozpoznania sprawy przez GIODO i nie będą udostępniane odbiorcom danych, w rozumieniu art. 7 pkt 6 ustawy o ochronie danych osobowych. Osobie, której dane dotyczą, przysługuje prawo dostępu do treści swoich danych oraz ich poprawiania. Podanie danych osobowych jest obowiązkowe (art. 147a ustawy Prawo telekomunikacyjne).</div>
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<td width="1"/>
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<td height="5" width="1"/>
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