Data Privacy Impact Assessment Proposal Form
Project Information
Project Title
Project Owner/Department
Contact Person
Contact Email
Contact Phone
Project Description
Purpose of the Project
Personal Data Details
Types of Personal Data Collected/Processed
Categories of Data Subjects
Source of Data
Estimated Data Volume
Main Processing Operations
Data Sharing
Will data be shared with third parties?
Yes
No
If yes, please specify recipients and purposes
Will data be transferred outside your jurisdiction?
Yes
No
If yes, please specify countries and transfer mechanisms
Risk & Mitigation
Identified Privacy Risks
Planned Mitigation Measures
Additional Comments