POPI Consent Form

Fill in the POPI consent form below if you would like to sign up.

CONSENT OF A DATA SUBJECT FOR THE PROCESSING OF PERSONAL INFORMATION

IN TERMS OF SECTION 69(2) OF THE PROTECTION OF PERSONAL INFORMATION ACT, 2013 (ACT NO.4 OF 2013) REGULATION 6, FORM 4 RELATING TO THE PROTECTION OF PERSONAL INFORMATION, 2018.

In terms of the POPIA legislation, consent must be obtained directly from you, your consent must be specific, the record of your information must be complete and your consent must be signed.  You have the right to withdraw your consent at any time.






    I, , hereby give my consent for ChildSafe to use my personal information for the purposes of:




    By signing this form you accept the terms and conditions of our Consent agreement and Data protection policy which outlines the processing of your data (available/can be viewed at our offices or on our website: https://childsafe.org.za/