Complaint Withdrawal Form — Entity Portal

PART A — COMPLAINT & PARTIES IDENTIFICATION

Complaint Reference Number to Withdraw*

Complainant Full Legal Name*

Respondent Entity / Individual Name*

Complainant Email Address*

Complainant Telephone Number*

PART B — GROUNDS FOR WITHDRAWAL

Primary Ground for Withdrawal*

Summary of Settlement / Reasons for Discontinuance*

PART C — SETTLEMENT PROOF & DOCUMENTATION

Executed Settlement Agreement / Discharge Document

Upload signed deed of settlement, mutual agreement, or confirmation of remedy (PDF, max 10MB).

PART D — CONFIRMATION & WAIVER DECLARATION

Statutory Discontinuance Confirmation*

I hereby formally request the Data Commissioner to mark this complaint docket as withdrawn and closed. I confirm that I make this withdrawal voluntarily without duress.

Complainant Full Legal Name (Signature)*

Date of Withdrawal Notice*