
Get the free WITHDRAWAL OF CONSENT REQUEST FORM - santen.com
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6 Temasek Boulevard #2003/04 Hunter Tower Four, Singapore 038986
Tel : +65 6715 7800 Fax : +65 6235 1543PERSONAL DATA PROTECTION ACT 2012 (No. 26 of 2012)
ACCESS REQUEST FORM
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How to fill out withdrawal of consent request

How to fill out withdrawal of consent request:
01
Begin by writing a clear and concise statement at the top of the request, stating that you are formally withdrawing your consent for a specific action or agreement.
02
Include your full name, contact information, and any relevant identification numbers or account details. This will help ensure that your request is properly processed and attributed to you.
03
Clearly state the reason for your withdrawal of consent. Provide a brief explanation or justification for your decision, as this can help facilitate the handling of your request.
04
Include any supporting documentation or evidence that may be necessary to support your withdrawal of consent. This could include copies of previous agreements, correspondence, or any other relevant information that can support your decision.
05
Sign and date the withdrawal of consent request. This is important to formally authenticate your request and demonstrate that you are the authorized person making the withdrawal.
06
Keep a copy of the request for your records. It’s always a good idea to have documentation of any important communications, especially when it involves the withdrawal of consent.
Who needs withdrawal of consent request:
01
Individuals who previously gave their consent but have subsequently decided to revoke it may need to fill out a withdrawal of consent request. This could apply to various situations such as consent for medical procedures, data sharing, or legal agreements.
02
Organizations or businesses may also receive withdrawal of consent requests from individuals who no longer wish to have their personal information or data used or shared.
03
Consent withdrawal may be necessary when someone wants to terminate or cancel a previous agreement or contract that was based on consent.
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What is withdrawal of consent request?
Withdrawal of consent request is a formal request to revoke or cancel previously given permission or approval.
Who is required to file withdrawal of consent request?
Anyone who has previously given consent or approval for something and wishes to revoke it is required to file a withdrawal of consent request.
How to fill out withdrawal of consent request?
To fill out a withdrawal of consent request, one must typically include their name, contact information, details of the consent being revoked, and a signature.
What is the purpose of withdrawal of consent request?
The purpose of a withdrawal of consent request is to formally indicate the revocation of permission or approval previously given.
What information must be reported on withdrawal of consent request?
The withdrawal of consent request should include information such as the individual's name, contact information, details of the consent being revoked, and a signature.
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