Complaint Regarding Interference with the Protection of Personal Information Form

Mark the appropriate box:

 

 

ALLEGED INTERFERENCE WITH THE PROTECTION OF PERSONAL INFORMATION IN TERMS OF SECTION 74 OF THE PROTECTION OF PERSONAL INFORMATION ACT, 2013

A. Particulars of Complainant

 

B. Particulars of the Responsible Party Interfering with Personal Information

 

C. Reasons for the Complaint: