Free Personal Privacy Form Template
Personal Privacy Form
Please fill out this form to provide and manage your personal privacy preferences.
Personal Information
Name
Date of Birth
Address
Phone number
Privacy Preferences
Please indicate your privacy preferences below
-
I agree to share my personal information with the specified parties.
-
I prefer to keep my personal information confidential.
-
I would like to receive marketing communications from the company.
-
I would prefer not to receive marketing communications.
Data Usage Consent
Please specify your consent for how your personal data will be used
-
I consent to my personal data being used for internal purposes only.
-
I consent to my personal data being used for research and analysis purposes.
-
I consent to my personal data being shared with third-party partners for business-related activities.
Data Retention
How long would you like your personal data to be retained?
-
Until I request its removal
-
For the specified period as per the company policy
-
I would like my data to be deleted after a certain period
Access and Control
You have the right to access and manage your personal data. Please check the options that apply
-
I would like to request access to the personal information the company holds about me.
-
I would like to request a correction to my personal information.
-
I would like to request the deletion of my personal information.
-
I would like to opt out of profiling or automated decision-making processes based on my data.
Consent for Data Transfers
Please indicate your consent for transferring your data to other countries
-
I consent to my data being transferred internationally in compliance with applicable laws.
-
I do not consent to my data being transferred internationally.
Signature and Acknowledgment
By signing below, I confirm that I have read, understood, and voluntarily agree to the terms outlined above regarding the management and processing of my personal privacy preferences.
Name:
Date:
Personal Form Templates @ Template.net
Thank you for your submission!
We appreciate you taking the time to submit.
Create free forms at Template.net