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CONSENT FORM FOR DATA PROCESSING

[Company Letterhead/Logo]

Date: [Insert Date]

Subject: Consent for Processing of Personal Data

Dear [Recipient Name],

This consent form is issued to inform you of the purposes for which your personal data will be processed and to obtain your explicit consent for the same, in compliance with the Digital Personal Data Protection Act, 2023 (“DPDPA”).

1. INFORMATION WE WILL COLLECT

We may collect and process the following categories of personal data:

  • Basic Information: This includes illustrations such as your full legal name, residential address, personal email address, date of birth, and mobile phone number.
  • Financial Details: This includes illustrations such as bank account numbers, payment card details, and billing information required for transaction processing.
  • Technical Data: This includes illustrations such as IP addresses, device identifiers, and logs of your interactions with our digital platform.

2. PURPOSE OF PROCESSING

Your personal data will be processed for the following purposes:

  1. Service Provision: To provide the services or products you have requested.
  2. Legal Compliance: To comply with applicable laws and regulatory requirements.
  3. Marketing Communications: To send you marketing materials, but only with your explicit consent.
  4. Data Analytics: For improving our services, products, and user experience.

3. LEGAL BASIS FOR PROCESSING

The legal basis for processing your personal data is your free, specific, informed, unconditional, and unambiguous consent as provided under Section 6 of the DPDPA.

4. RIGHTS AVAILABLE TO YOU

Under the DPDPA, you have the following statutory rights:

  • Right to Access: Obtain a summary of your personal data being processed and the processing activities.
  • Right to Correction and Completion: Request corrections to inaccuracies or completion of incomplete personal data.
  • Right to Erasure: Request deletion of your personal data that is no longer necessary for the purpose of processing.
  • Right to Withdraw Consent: Withdraw your consent at any time. The withdrawal will not affect the lawfulness of processing based on consent before its withdrawal.
  • Right to Nominate: Nominate any individual to exercise your rights on your behalf in the event of your death or incapacity.
  • Right to Grievance Redressal: Register a grievance with the Data Fiduciary regarding any act or omission.

To exercise these rights, you may contact us at:

  • Email: [Insert Email Address]
  • Phone: [Insert Phone Number]
  • Address: [Insert Organisation Address]

5. CONSENT DECLARATION

By signing below, you confirm that you have read and understood the terms of this consent form and voluntarily agree to the processing of your personal data as described herein.

I hereby give my free, specific, informed, unconditional, and unambiguous consent to [Insert Organisation Name] for the processing of my personal data for the purposes mentioned above.

Signature: ___________________________

Name: _______________________________

Date: _______________________________

6. CONTACT INFORMATION

If you have any questions or concerns regarding this consent form or our data processing practices, please contact our Grievance Officer (GO) / Data Protection Officer (DPO):

  • Name: [Insert DPO / GO Name]
  • Email: [Insert DPO / GO Email Address]
  • Phone: [Insert DPO / GO Phone Number]

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