POPI Client Consent Form

POPI ACT
AGREEMENT AND CONSENT DECLARATION
YOU HEREBY DECLARE AND CONFIRM THAT YOU, AS THE
PERSON/ENTITY/BODY/INDIVIDUAL/COMPANY WHOSE IS PROVIDING
INFORMATION AND HEREINAFTER COLLECTIVELY REFERRED TO AS THE
“CLIENT”, DO HEREBY IRREVOCABLY AGREE AND UNDERSTAND THAT
ANY/ALL INFORMATION SUPPLIED OR GIVEN TO THE SERVICE PROVIDER,
IS DONE SO IN TERMS OF THE BELOW TERMS AND CONDITIONS AND IN
TERMS OF THIS AGREEMENT AND CONSENT DECLARATION.


(“THE SERVICE PROVIDER/COMPANY”)

  • INTERPRETATION
    1.1 In this Agreement, unless inconsistent with or otherwise indicated by the
    context –
    1.1.1 “This Agreement” means the Agreement contained in this document;
    1.1.2 “The Company/Service provider” means _________________
    and includes its affiliated, holding and subsidiary companies;
    1.1.3 “Confidential information” includes, but is not limited to:
    1.1.3.1 any information in respect of know-how, formulae, processes,
    systems, business methods, marketing methods, promotional
    plans, financial models, inventions, long-term plans and any
    other information of the client and the company in whatever form
    it may be;
    1.1.3.2 all internal control systems of the client and the company;
    1.1.3.3 details of the financial structure and any other financial,
    operational information of the client and the company; and
    1.1.3.4 any arrangements between the client and the company and others
    with whom they have business arrangements of whatsoever
    nature, all of which the client and the company regards as secret
    and confidential.
    1.1.4 “personal information” means personal information as defined in the
    Protection of Personal Information Act adopted by the Republic of South
    Africa on 26 November 2013 and includes but is not limited to:
    1.1.4.1 information relating to the race, gender, sex, pregnancy, marital
    status, national, ethnic or social origin, colour, sexual
    orientation, age, physical or mental health, well-being,
    disability, religion, conscience, belief, culture, language and
    birth of the person;
    1.1.4.2 information relating to the education or the medical, financial,
    criminal or employment history of the person;
    1.1.4.3 any identifying number, symbol, e-mail address, physical
    address, telephone number, location information, online
    identifier or other particular assignment to the person;
    1.1.4.4 the biometric information of the person;
    1.1.4.5 the personal opinions, views or preferences of the person;
    1.1.4.6 correspondence sent by the person that is implicitly or
    explicitly of a private or confidential nature or further
    correspondence that would reveal the contents of the original
    correspondence;
    1.1.4.7 the views or opinions of another individual about the person;
    and
    1.1.4.8 the name of the person if it appears with other personal
    information relating to the person or if the disclosure of the
    name itself would reveal information about the person.
    1.1.5 “the effective date” means the date of signature of this Agreement’;
    1.1.6 “the parties” means the parties as described hereinabove;
    1.1.7 “divulge” or “make use of” means to reveal, make known, disclose, divulge,
    make public, release, publicise, broadcast, communicate or correspond or any
    such other manners of divulging of any information.
    1.1.8 ‘‘processing’’ means any operation or activity or any set of operations,
    whether or not by automatic means, concerning personal or any
    information, including but not limited to :
    (a) the collection, receipt, recording, organisation, collation, storage,
    updating or modification, retrieval, alteration, consultation or use;
    (b) dissemination by means of transmission, distribution or making
    available in any other form; or
    (c) merging, linking, as well as restriction, degradation, erasure or
    destruction of information.
    1.1.9 POPI” means the Protection of Personal Information Act adopted by the
    Republic of South Africa on 26 November 2013 and as amended from time
    to time.
    WHEREAS IT IS AGREED THAT
    All parties agree that they will comply with POPI regulations and process all the information
    and/or personal data in respect of the services being rendered in accordance with the said
    regulation and only for the purpose of providing the Services set out in the agreement to
    provide services.
    The company (also called the service provider), all the parties to this agreement, the service
    provider’s employees and the client’s employees and any subsequent party/parties to this
    agreement acknowledge and confirm that
     One or more of the parties to this agreement, will possess and will continue to possess
    information that may be classified or maybe deemed as private, confidential or as
    personal information.
     Such information may be deemed as the private, confidential or as personal information
    in so far as it relates to any party to this agreement.
     Such information may also be deemed as or considered as private, confidential or as
    personal information of any third person who may be directly or indirectly associated
    with this agreement.
     Further it is acknowledged and agreed by all parties to this agreement, that such private,
    confidential or as personal information may have value and such information may or
    may not be in the public domain.
    For purposes of rendering services on behalf of the client, the service provider and any party
    associated with this agreement and/or any subsequent or prior agreement that may have
    been/will be entered into, irrevocably agree that “confidential information” shall also include
    inter alia and shall mean inter alia:
    (a) all information of any party which may or may not be marked “confidential,”
    “restricted,” “proprietary” or with a similar designation;
    (b) where applicable, any and all data and business information;
    (c) where applicable the parties may have access to data and personal and business
    information regarding clients, employees, third parties and the like including personal
    information as defined in POPI regulation; and
    (d) trade secrets, confidential knowledge, know-how, technical information, data or other
    proprietary information relating to the client/service provider or any third party
    associated with this agreement and (including, without limitation, all products
    information, technical knowhow, software programs, computer processing systems and
    techniques employed or used by either party to this agreement and/or their affiliates.
    By signature hereunder, all parties irrevocably agree to abide by the terms and conditions as
    set out in this agreement as well as you irrevocably agree and acknowledge that all
    information provided, whether personal or otherwise, may be used and processed by the
    service provider and such use may include placing such information in the public domain.
    Further it is specifically agreed that the service provider will use its best endeavors and take
    all reasonable precautions to ensure that any information provided, is only used for the
    purposes its has been provided.
    It is agreed that such information may be placed in the public domain and by signature
    hereunder, all parties acknowledge that they have read all of the terms in this policy and that
    they understand and agree to be bound by the terms and conditions as set out in this
    agreement.
    It is confirmed that by submitting information to the service provider, irrespective as to how
    such information is submitted, you consent to the collection, collation, processing, and
    storing of such information and the use and disclosure of such information in accordance with
    this policy.
    SHOULD YOU NOT AGREE TO THE TERMS AND CONDITIONS AS
    SET OUT IN THIS AGREEMENT AND CONSENT DECLARATION
    YOU MUST NOTIFY THE SERVICE PROVIDER IMMEDIATELY
    FAILING WHICH IT WILL BE DEEMED THAT YOU ACCEPT AND
    AGREE TO THE TERMS AND CONDITIONS SET OUT ABOVE
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