Personal Data

Processing Claim Form

Please fill the form
to submit your claim

person-data-claim-form-image

Full Name

Email

Phone Number

Relation to the Personal Data

Your personal data that Nipa Technology has collected, used, disclosed, and kept.

0/250

Details of the Complainant

0/500

Date and Time of the Incident

Preferred Contact Channel

Available Time

I have read and agree to the

privacy policy

terms of service

All fields are required unless specified optional.