Startup Customer Data Protection Form

Personal Information:

Information	Details
Full Name:	[Your Name]
Address:	[Your Address]
Email Address:	[Your Email]
Phone Number:	[Your Number]
Date of Birth:	[Your Date of Birth]

Consent for Data Processing:

I consent to [Your Company Name] collecting and processing my personal data for the following purposes:

• Providing products and services.

• Sending promotional offers and updates.

• Conducting surveys and market research.

• Other (please specify): _______________________

Data Security Agreement:

I understand and agree that [Your Company Name] will take reasonable measures to protect my personal information from unauthorized access, disclosure, alteration, or destruction.

• I agree.

Data Retention Policy:

I acknowledge that [Your Company Name] will retain my personal information for as long as necessary to fulfill the purposes outlined in this form or as required by applicable laws.

• I acknowledge.

Right to Access and Correction:

I understand that I have the right to request access to and correction of my personal information held by [Your Company Name].

• I understand.

Opt-Out Preference:

I have the right to opt-out of receiving marketing communications from [Your Company Name] at any time.

• I opt-out.

By signing below, I confirm that I have read, understood, and agree to the terms outlined in this form.

[Your Name]

[Date]

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