Data Subject Parental Consent Withdrawal Form

Purpose of this document

This document sets out our organization’s responsibilities and policy for the protection of personal data under the Nigerian Data Protection Act (NDPA).

DATA SUBJECT PARENTAL CONSENT WITHDRAWAL FORM

This Document must be signed and email to dpo@skoutia.com

I, [parent/representative/legal guardian name]…………………………………………………………………, would like to withdraw the consent to process [minor data subject name] ………………………………’s personal data by SKOUTIA. Thus, SKOUTIA no longer has my consent to process the personal data of [minor data subject name]………..………………………………………………. for the purpose of [specify legitimate reason of processing personal data]………………………………

…………………………………………………………………………………………………………………………………………………, which was previously granted using the “PARENTAL CONSENT FORM.”

The withdrawal of consent does not affect the lawfulness of the processing activities up to this point.

Signed by parent/representative/legal guardian……………………………………………………………….:

Signature:

Date: