Consent Withdrawal Request

At Parkway Microfinance Bank Limited (“Parkway”), we prioritize the protection and transparent use of your personal data. Should you wish to withdraw your consent for any data processing activity previously consented to, kindly complete this form.

Please note that we require your proof of identity to enable us to process your request. It is also important to note that withdrawing consent does not invalidate the lawfulness of data processing conducted before the withdrawal.

1. Customer Information

First Name

Surname

Account Number

Email Address

Phone Number

2. Withdraw Consents

Please indicate which consent(s) you wish to withdraw:

Receiving marketing and promotional materialsParticipation in customer satisfaction surveysData sharing with third-party partners for non-essential servicesAutomated decision-making or profiling for marketing purposes

3. Declaration

Customer Declaration

I confirm that I am the authorized account holder and wish to withdraw my consent for the selected service(s). I understand this may affect access to certain features and/or services, and that my request will be processed in accordance with the Bank’s Data Protection Policy and applicable data protection laws.

In accordance with Parkway’s Privacy Policy, you will receive a response to your request within 30 calendar days of us receiving this completed form and the necessary identification.

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Consent Withdrawal Request

1. Customer Information

2. Withdraw Consents

3. Declaration

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