File/lodge a complaint

Only use this form if you are a data subject, or acting on behalf of a data subject and filing a complaint in line with Section 56 of the Data Protection Act.
If the space provided for in this form is inadequate, submit information as an annex.
If you have supporting documents to substantiate your claim, please annex copies to this form
The information submitted will be treated with utmost confidentiality.
If complaint is made on behalf of another data subject, please provide authorization to act on behalf of them.

If you wish to report a data breach as a data controller or a data processor please use the following link:

Click here

A. PARTICULARS OF THE COMPLAINANT/REPRESENTATIVE

Full Name :

Phone number

Email Address

National ID / Passport Number

B. PARTICULARS OF THE RESPONDENT

Name (s) of the respondent (individual or institutional):

Contact details of the respondent (individual or institutional):

Date of occurrence of the alleged infringement

C. PARTICULARS OF THE COMPLAINT

Describe your complaint :

The name (s) of any persons that can provide further information relevant to the complaint, if any;

Any actual or potential harm or any urgency to be taken note of:

D. REMEDY SOUGHT

State in your view what redress/relief you are anticipating:

Which other steps have you already taken in relation to the complaint; if any

Particulars of any person or institution that has previously made attempts to resolve the matter:

In the event that the Respondent is contacted, do you wish to remain anonymous?

Yes No

If so, please explain why?

Provide supporting documents that will assist in addressing this compliant. (For multiple documents, ensure to have all of them in a common folder)