Udisha Fincop MicroFinance – DPDP Privacy Notice, Consent & Data Rights Form
Submit your consent preferences and privacy rights requests under India’s DPDP framework—review the Privacy Notice before submitting.
Basic Identification and Contact Details
Full Name
*
First Name
Middle Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Address
*
City
*
State
*
Please Select
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Delhi
Other
PIN Code
*
Customer / Investor / Loan ID
Relationship / Service Details
Product / Service Type
*
Investor – Deposit/Investment
Borrower – Loan/Finance
Both
Other
If Other, please specify
Privacy Notice and Links
Privacy Notice
Privacy Policy URL
*
Consent Withdrawal / Data Rights Request URL or Email
*
Grievance / Contact Phone
*
Consent to Processing and Required Acknowledgement
I have read and understood the Privacy Notice and consent to Udisha Fincop MicroFinance processing my personal data for the specific purposes described in the Privacy Notice and applicable service documentation.
*
I have read and understood the Privacy Notice and consent to Udisha Fincop MicroFinance processing my personal data for the specific purposes described in the Privacy Notice and applicable service documentation.
I understand that certain personal data may need to be processed to provide the requested product/service, complete KYC/verification, perform contractual obligations, prevent fraud, maintain records, or comply with applicable law/regulatory requirements.
*
I understand that certain personal data may need to be processed to provide the requested product/service, complete KYC/verification, perform contractual obligations, prevent fraud, maintain records, or comply with applicable law/regulatory requirements.
Rights / Requests and Preferred Contact Channel
Rights / requests
Request access/information about personal data
Request correction/update
Request erasure/deletion where legally applicable
Withdraw consent
Raise grievance/complaint
Other
Details / comments
Preferred contact channel for privacy requests
*
Email
Phone
Both
Declaration and Submission Metadata
Declaration
*
I declare that the information provided is accurate and complete; I am the data principal or am authorised to submit this information on their behalf.
Consent Date and Time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Submit Privacy Preferences
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