REQUEST FOR CORRECTION OR DELETION OF PERSONAL INFORMATION OR
DESTROYING OR DELETION OF RECORD OF PERSONAL INFORMATION IN TERMS OF SECTION 24(1) OF THE PROTECTION OF PERSONAL INFORMATION ACT, 2073 (ACT NO.4 OF 2013)

REGULATIONS RELATING TO THE PROTECTION OF PERSONAL INFORMATION, 2018
[Regulation 3]

Note:

  1. Affidavits or other documentary evidence as applicable in support of the request 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.

    Select the appropriate box with a tick.

    Request for:

    Details of Data Subject






    Details of Responsible Party





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