[Company Letterhead/Logo]
CONSENT FORM FOR DATA PROCESSING
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") and the Digital Personal Data Protection Rules,
2023 ("DPDP Rules").
1. INFORMATION WE WILL COLLECT
We may collect and process the following categories of personal data:
• Basic Information: Name, Contact Information, Address, Date of Birth.
• Sensitive Personal Data (if applicable): Financial Details, Health Information,
Biometric Data, etc.
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 explicit consent as provided under
Section 7 of the DPDPA and other applicable provisions of the DPDP Rules.
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4. RIGHTS AVAILABLE TO YOU
Under the DPDPA, you have the following rights:
• Right to Access: Obtain access to your data.
• Right to Rectification: Request corrections to any inaccuracies in your data.
• Right to Erasure: Request deletion of your personal data.
• Right to Restriction: Restrict or object to certain types of data processing.
• Right to Data Portability: Request transfer of your personal data to another entity.
• Right to Withdraw Consent: Withdraw your consent at any time, without affecting the
lawfulness of processing based on consent before its withdrawal.
• Right to Nominate: Can nominate someone to exercise their rights on their behalf if they
are unable to do so.
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 explicit 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 Data Protection Officer (DPO):
• Name: [Insert DPO Name]
• Email: [Insert DPO Email Address]
• Phone: [Insert DPO Phone Number]
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