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Consent form for data processing

A per-purpose consent request with an unticked decision panel and an internal capture record evidencing when, how and against which notice version consent was given. Use it whenever processing rests on consent under section 6 of the DPDP Act.

An original template, drafted against the DPDP Act, 2023 and DPDP Rules, 2025. Not legal advice — review with counsel before use.

One of 14 DPDPA document templates, drafted in-house against the Act and the Rules. Free to generate as a Word file — no account needed for the preview.

Drafted against G.S.R. 846(E); citations open the gazette text inline.

About this document

Category

Forms

Legal basis
s.5s.6s.9 (1)DPDP Rules r.3DPDP Rules r.10
ReadabilityReadable with work512 words · ~3 min read · reading ease 68/100Scored by the same checker the consent module uses on your own notices.

What it covers

The placeholders this template asks you to fill in.

[Organisation Letterhead / Logo][Organisation Name][Insert the single purpose, in one sentence][Contact Email][Insert data item 1, e.g. full name][Insert data item 2, e.g. mobile number][Insert data item 3][Insert the good, service or use enabled][Insert what still works on refusal, e.g. you can keep using the service, but this feature stays off][Insert the single purpose][Insert exact withdrawal control, e.g. Settings, then Privacy, then one tap on Withdraw][Insert Consent Manager details, or state that none is offered yet][Contact Person Name][Contact Phone][Grievance Channel][Published Response Period][Insert verification method, e.g. details you already hold with us, or a virtual token issued through a Digital Locker service provider][Consent Record ID][Notice Version][Capture Timestamp][Language of the Form][Capture Channel, e.g. web, app, paper]

The document

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