NOMINATION UNDER SECTION 14
DIGITAL PERSONAL DATA PROTECTION ACT, 2023
PART A: NOMINATOR DETAILS (Data Principal)
| Full Name: | _________________________________ |
| Father's/Mother's Name: | _________________________________ |
| Date of Birth: | _____ / _____ / _________ |
| Gender: | _________________________________ |
| Residential Address: | _________________________________ _________________________________ PIN: ______________ |
| Email: | _________________________________ |
| Phone: | _________________________________ |
| Aadhaar Number: | ____ ____ ____ (last 4 digits) |
| PAN/Passport: | _________________________________ |
PART B: NOMINEE DETAILS
| Full Name: | _________________________________ |
| Father's/Mother's Name: | _________________________________ |
| Date of Birth: | _____ / _____ / _________ |
| Relationship to Nominator: | _________________________________ |
| Residential Address: | _________________________________ _________________________________ PIN: ______________ |
| Email: | _________________________________ |
| Phone: | _________________________________ |
| Aadhaar Number: | ____ ____ ____ (last 4 digits) |
| PAN/Passport: | _________________________________ |
PART C: NOMINATION DECLARATION
I, [Nominator Name], being of sound mind and under no undue influence, hereby nominate [Nominee Name] to exercise all my rights under the Digital Personal Data Protection Act, 2023, in the event of my death or incapacity.
The nominee shall have the authority to:
- Request access to my personal data from any Data Fiduciary (Section 11)
- Request correction, completion, or updating of my personal data (Section 12)
- Request erasure of my personal data (Section 12)
- Withdraw any consents I have given for data processing
- File grievances with Data Fiduciaries on my behalf (Section 13)
- File complaints with the Data Protection Board of India on my behalf (Section 13)
- Exercise any other rights available to me under the DPDPA 2023
Scope of Nomination:
- ☐ All Data Fiduciaries (universal nomination)
- ☐ Specific Data Fiduciaries only (list attached)
Special Instructions (Optional):
[Example: "Please delete all my social media accounts." / "Please preserve and share family photos with my children." / "Please ensure my financial data is accessible for estate settlement."]
Revocation Rights: I reserve the right to revoke, modify, or replace this nomination at any time by submitting a fresh nomination in writing to the concerned Data Fiduciaries.
Date: _____ / _____ / _________
Place: _________________________________
Signature of Nominator:
_______________________________
[Nominator Name]
PART D: NOMINEE'S ACCEPTANCE
I, [Nominee Name], hereby accept the nomination made by [Nominator Name] and agree to exercise the data rights on their behalf in the event of their death or incapacity. I understand that I must act in the best interests of the nominator and will handle their personal data with utmost care and confidentiality.
Date: _____ / _____ / _________
Place: _________________________________
Signature of Nominee:
_______________________________
[Nominee Name]
PART E: WITNESSES (OPTIONAL BUT RECOMMENDED)
Witness 1:
| Name: | _________________________________ |
| Address: | _________________________________ |
| Signature: | _________________________________ |
| Date: | _____ / _____ / _________ |
Witness 2:
| Name: | _________________________________ |
| Address: | _________________________________ |
| Signature: | _________________________________ |
| Date: | _____ / _____ / _________ |
📌 IMPORTANT NOTES:
1. This nomination is valid only for rights under DPDPA 2023. For financial assets, separate nominations are required.
2. Keep this document in a safe place and inform your family members of its location.
3. Provide a copy to your nominee and keep a digital backup.
4. Submit copies to all relevant Data Fiduciaries (email, social media, cloud storage, etc.).
5. Review and update this nomination every 3-5 years or whenever circumstances change.
6. In case of multiple nominations (old and new), the latest dated nomination will prevail.