DPDP Consent Form Template
Free • DPDP Section 6 & 7 Compliant • Granular Consent Options
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Includes granular consent, purpose specification, and withdrawal mechanism
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CONSENT FOR PERSONAL DATA PROCESSING
[Company Name] requests your consent to process your personal data in accordance with the Digital Personal Data Protection Act, 2023.
DATA PRINCIPAL INFORMATION
Name: ____________________________________
Email: ____________________________________
Phone: ____________________________________
Date: ____________________________________
1. CATEGORIES OF PERSONAL DATA WE WILL PROCESS
DPDP Reference: Section 6(1) - Lawful basis for processing
2. PURPOSE OF PROCESSING (Please select all that apply)
DPDP Reference: Section 6(3) - Consent must be specific and informed
3. DATA SHARING WITH THIRD PARTIES
We may share your personal data with the following third parties:
DPDP Reference: Section 8(8) - Data processor obligations
4. CROSS-BORDER DATA TRANSFER
DPDP Reference: Section 16 - Cross-border transfer
5. DATA RETENTION
Your personal data will be retained for:
• [X years] after your last transaction with us, OR
• Until you withdraw consent, whichever is earlier
• Financial records: [X years] as per statutory requirements
DPDP Reference: Section 8(6) - Retention limitation
6. YOUR RIGHTS
You have the following rights under the DPDP Act:
- Access a summary of your personal data
- Request correction of inaccurate data
- Request erasure of your data
- Withdraw this consent at any time
- File a grievance with our Grievance Officer
To exercise these rights, contact:
Email: [privacy@yourcompany.com]
Phone: [Contact Number]
DPDP Reference: Sections 12-15 - Data principal rights
7. CONSENT DECLARATION
By signing below, I confirm that:
- I have read and understood this consent form
- I provide my free, informed, specific, clear, and unambiguous consent
- I understand I can withdraw this consent at any time
- I have been informed of my rights under the DPDP Act
Signature: ____________________________________
Date: ____________________________________
Time: ____________________________________
(Timestamp required for audit trail - Section 6)
8. WITHDRAWAL OF CONSENT
You may withdraw this consent at any time by:
• Sending an email to [privacy@yourcompany.com]
• Calling [Contact Number]
• Using our self-service portal at [Portal URL]
Withdrawal will be processed within 30 days and will not affect the lawfulness of processing done before withdrawal.
For Internal Use Only:
Consent ID: _______________
Recorded By: _______________
Version: 1.0
System Timestamp: _______________
What Makes This Template DPDP Compliant
Granular Consent Options
Not bundled - separate consent for each purpose
Purpose Specification
Clear explanation of why data is collected
Withdrawal Mechanism
Easy process to withdraw consent anytime
Audit Trail Fields
Timestamp, version control, consent ID
How to Implement This Consent Form
Customize for your specific business (add/remove data categories and purposes)
Implement digital capture system (web form, mobile app) with timestamp logging
Store consent records securely with audit trail (who, what, when)
Create withdrawal workflow accessible 24/7
Train staff on consent verification procedures
Verify Your Consent Management Process
Run a full DPDP audit to ensure your consent workflow is compliant from end to end.
Audit Your Process Free (7 Credits)This template is provided for informational purposes only and does not constitute legal advice. Consent forms should be reviewed by qualified legal professionals before use. ToolsForIndia.com is not responsible for any legal consequences arising from use of this template.