FORM 1
OBJECTION TO THE PROCESSING OF PERSONAL INFORMATION IN TERMS OF SECTION 11(3) OF THE PROTECTION OF PERSONAL INFORMATION ACT, 2013 (ACT NO.4 OF 2013) REGULATIONS RELATING TO THE PROTECTION OF PERSONAL INFORMATION, 2017 [Regulation 2(1)] Note: 1. Affidavits or other documentary evidence in support of the request must be attached.
Details of Data Subject
Name and Surname:
Residential Address:
Postal/Business Address:
Telephone:
Fax:
Cellular:
Email:
Details of Responsible Party
Name and Surname (if natural person):
Name of public/private body (if not natural person):
Residential/Postal/Business Address:
Telephone:
Fax:
Cellular:
Objection
Reason for Objection:
Supporting Documents
Signature
Signed at:
Date:
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