IT, Software & POPIA Intake

IT, Software & POPIA Intake Form

First Name

Last Name

Email Address (PDF delivered here)

Contact Number

Company or Trading Name

WooCommerce Order Number

Document Purchased

Service Provider / Licensor Full Name or Company

Client Full Name / Company

Software / Website / System Name

Monthly / Annual Fee (R)

Number of Licensed Users

Service / Agreement Start Date

Response Time SLA

Website URL

Information Officer Name (for POPIA documents)

Information Officer Email (for POPIA documents)

Personal Information Collected (for POPIA documents)

Data Retention Period (for POPIA documents)

Deliverables / Scope of Services

Special Instructions (optional)