Data Privacy Service Form

Fullname: *

Email Address: *

Telephone or Cell Phone number that can be contacted: *

Request Type (optional): *

Details of the required data and Reference Documents containing the data:

Description of Request Submitted *

Relationship with Company (optional): *

Data Source *

Disclaimer:

This form relates to data that has been collected and stored by PT Cikarang Listrindo Tbk (PTCL) about you. PTCL has no authority to assist in modifying, accessing, or deleting any personal data stored by third party applications (not owned by PTCL) that you use in connection with your interactions with PTCL. For this reason, we recommend that you contact those applications directly regarding any personal information they may have collected.
Please note that data deletion is permanent and irreversible, based on your request. If you request deletion, your personal data will be permanently deleted from the systems used by PTCL. This may impact your ability to use products or services provided by PTCL.
Your request will be handled in accordance with the provisions of Law no. 27 of 2022 concerning Personal Data Protection and its implementing regulations, including exceptions regulated in this law.

By submitting this form, I declare that I have read and understood PT Cikarang Listrindo Tbk Personal Data Protection Notice and agree to the collection, storage and use of my personal data in accordance with applicable provisions.