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, 2018
[Regulation 2]

Note:

  1. Affidavits or other documentary evidence as applicable in support of the objection may be attached.
  2. If the space provided for in this Form is inadequate, submit information as an Annexure to this Form and sign each page.
  3. Complete as is applicable.

    Details of Data Subject






    Details of Responsible Party





    Reasons for objection in terms of section 11(1)(d) to (f) (Please provide detailed reasons for the objection)

    Upload supporting Documents