NOTIFICATION OF COLLECTION OF PERSONAL INFORMATION AND CONSENT TO PROCESS PERSONAL INFORMATION

COLLECTION OF PERSONAL INFORMATION AND CONSENT TO PROCESS PERSONAL INFORMATION

Annexure “B”

Please complete the following form (see Section 18 Notice and Consent for more information):

Purchaser/Director/Trustee (One)
Purchaser/Director/Trustee (Two)
I confirm and declare that I freely and voluntarily provide consent for the collection and processing of my personal information (including biometric information) and where applicable, in my capacity as my child’s competent person, consent for the collection and processing of personal information of my child (including biometric information), for the purpose(s) as stated in Annexure “A”. I acknowledge that I have been informed of, and understand the purpose(s) for which personal information is collected and processed by the PHOA. I confirm that all personal information provided to the PHOA is accurate, up to date, is not misleading and is complete in all respects. I undertake to immediately advise PHOA of any changes to the personal information should any of it changes. Where this consent relates to my child, I confirm that I am legally competent to provide the aforementioned consent to the PHOA to process my child’s personal information (including biometric information) as stated above. I have been advised that in terms of Section 11(2) of POPIA, I have the right to withdraw my consent, provided that the lawfulness of the processing of my or my child’s personal information before such withdrawal or the processing of personal information – if the processing is necessary to carry out actions for the conclusion or performance of a contract to which I am a party - will not be affected.