Annexure B

POPI Complaint Form

  • We are committed to safeguarding your privacy and the confidentiality of your personal information and are bound by the Protection of Personal Information Act.
  • If we are unable to resolve the complaint to your satisfaction, you have the right to complain to the Information Regulator.

The Information Regulator: Ms Mmamoroke Mphelo
Physical Address: SALU Building, 316 Thabo Sehume Street, Pretoria
Email: inforeg@justice.gov.za
Website: Information Regulator

  • Your Details

  • A. Particulars of Complainant

  • B. Details of Complaint

  • C. Desired Outcome

  • D. Signature

  • Date Format: DD slash MM slash YYYY
  • This field is for validation purposes and should be left unchanged.

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