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Report Breach
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DATA SUBJECT NOTIFICATION OF SECURITY BREACH
Section A: General Information
A1. Data Processor or Data Controller that is reporting this security breach (Choose only one option)
Data Controller:
Data Processor:
A2. Data Controller or Data Processor Information
Name of Data Controller or Data Processor:
Name of Data Protection Officer:
Organisation:
Email Address:
Phone
If you are human, leave this field blank.
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