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Protection of Personal Information Act, 2013 (Act No. 4 of 2013)

Regulations

Regulations relating to the Protection of Personal Information, 2018

Forms

Form 5 : Complaint regarding interference with the protection of personal information/complaint regarding determination of an adjudicator

 

FORM 5

 

COMPLAINT REGARDING INTERFERENCE WITH THE PROTECTION OF PERSONAL INFORMATION/COMPLAINT REGARDING DETERMINATION OF AN ADJUDICATOR IN TERMS OF SECTION 74 OF THE PROTECTION OF PERSONAL INFORMATION ACT, 2013 (ACT NO. 4 OF 2013)

 

REGULATIONS RELATING TO THE PROTECTION OF PERSONAL INFORMATION, 2018

[Regulation 7]

 

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.

 

R1383 Form 5 pg 1

R1383 Form 5 pg 2

R1383 Form 5 pg 3