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Complainant Information
Enter the name of complainant/person making report
Relationship to Affected Data Subject

Select your relationship to affected data subject

Data Controller Information
Enter the name of data controller against whom report is being made
Address of Data Controller
Enter the address of the data controller by selecting the country of origin first
Select the date when the Incident giving rise to complaint/report occured
Nature of Complaint/Report
Nature of Complaint/Report (check all that apply)
Give details on what your desired outcome is