Data Partner Due Diligence Questionnaire

[[ form.AffiliateType.statusMsg ]]

Section One - Company Details

[[ form.CompanyName.statusMsg ]]

[[ form.CompanyRegistrationNumber.statusMsg ]]

[[ form.TradingNames.statusMsg ]]

[[ form.RegisteredAddress.statusMsg ]]

[[ form.Website.statusMsg ]]

[[ form.TradingLocation.statusMsg ]]

[[ form.ComplianceManager.statusMsg ]]

[[ form.TelephoneNumber.statusMsg ]]

[[ form.EmailAddress.statusMsg ]]

Section Two – Data Protection

[[ form.Icorn.statusMsg ]]

[[form.ComplaintsHandler.statusMsg]]

[[ form.ComplaintsRequest.statusMsg ]]

[[ form.AccreditationsText.statusMsg ]]

[[ form.Accreditations.statusMsg ]]

[[ form.FinedText.statusMsg ]]

[[ form.Fined.statusMsg ]]

[[ form.EncryptionMethods.statusMsg ]]

Section Three – Consent for your Own Data

[[ form.GenerateData.statusMsg ]]

[[ form.dataURLS.statusMsg ]]

[[ form.DataCheck.statusMsg ]]

[[ form.MaintainSuppressionList.statusMsg ]]

[[ form.OptBoxes.statusMsg ]]

[[ form.OptHow.statusMsg ]]

[[ form.DataAge.statusMsg ]]

[[ form.DataCollection.statusMsg ]]

[[ form.GainConsent.statusMsg ]]

[[ form.ListOfConsent.statusMsg ]]

Section Four – Third Party Consent

[[ form.UseThirdParty.statusMsg ]]

[[ form.ThirdPartySources.statusMsg ]]

[[ form.ThirdPartyDiligence.statusMsg ]]


If you have an FCA registration or you are in the process of applying for one please continue to section five. If not please sign and return the form.

Section Five - Regulatory Information

Section Six – Compliance Information

[[ form.ComplaintsHandlerTwo.statusMsg ]]

[[ form.ComplaintsHandlerEmail.statusMsg ]]

[[ form.ComplaintsHandlerJobTitle.statusMsg ]]

[[ form.ComplaintsProcedure.statusMsg ]]

[[ form.FcaComplaints.statusMsg ]]

[[ form.OtherComplaints.statusMsg ]]

[[ form.CONC.statusMsg ]]

[[ form.CONCrequired.statusMsg ]]

[[ form.Tcf.statusMsg ]]

[[ form.TcfPolicy.statusMsg ]]

[[ form.ConsumerText.statusMsg ]]

[[ form.FinancialCheck.statusMsg ]]

[[ form.NameOfPerson.statusMsg ]]

[[ form.Accept.statusMsg ]]

[[ form.SubmitError.statusMsg ]]

Conectia is a trading style of Inchora Commercial Limited, registered and incorporated in England & Wales (CRN 06771616) with registered address X92 Cody Technology Park, Old Ively Road, Farnborough GU14 0LX.