Data Principal request form
About this form
Use this form to exercise your rights under the Digital Personal Data Protection Act, 2023, or to raise a grievance.
We respond within the period published on our website.
We may ask for information to confirm your identity before we act on your request.
1. Your details
Full name:
Email address:
Mobile number (optional):
If you are making this request for someone else, your relationship to them (parent, lawful guardian or nominee):
2. Identifier
We use the identifier below to find your records. It is the identifier we publish on our website.
Username, customer ID or other identifier:
3. Request type (tick one or more)
[ ] Access: a summary of my personal data and how it is processed (s.11)
[ ] Correction of my personal data (s.12)
[ ] Completion of my personal data (s.12)
[ ] Updating of my personal data (s.12)
[ ] Erasure of my personal data (s.12)
[ ] Nomination of a person to exercise my rights in the event of my death or incapacity (s.14)
[ ] Grievance about how my personal data or a request was handled (s.13)
4. Details of your request
Which personal data, account or service this concerns:
What you would like us to do:
For correction, completion or updating, the correct details:
For nomination, the nominee's name and contact details:
For a grievance, what happened and when:
5. Declaration
I confirm that the information in this form is true, and that I am the Data Principal or am entitled to act for them.
Signature or typed name:
Date:
For office use
Reference number (sample format: DPR-1042):
Date received:
Identity verified on:
Response due by (within our published period):
Assigned to:
Closed on: