Information Officer Nomination

Company Name *

Company Registration No

MDH Client Code *

Information Officer Name *

First

Last

Email *

ID Numbers

Please accept the terms and conditions and supply a letter on a company letterhead nominating you as the Information Officer *

I agree to the terms and conditions
I agree that my information will be stored for the use of data processing for my company
I am the authorized representative of my company

An Information Officer has been nominated to handle all data requests and will ensure compliance with POPIA in accordance with the body’s definition of compliance.

Authorization letter on company letterhead *

Click or drag a file to this area to upload.