[Company Logo][Company Name]
PERSONAL DATA CORRECTION FORM
- Employee Name:
- [Employee Name]
- Employee ID:
- [Employee ID]
- Request Date:
- [Date]
- Request No.:
- [Reference Number]
| Field | Incorrect Value in Records | Correct Value | Proof Attached |
|---|---|---|---|
| [Name spelling] | [Incorrect] | [Correct] | [PAN] |
| [Date of Birth] | [DD/MM/YYYY] | [DD/MM/YYYY] | [Class 10 certificate] |
| [Field] | [Incorrect] | [Correct] | [Proof] |
Systems Corrected (HR use)
| System / Document | Corrected On | By |
|---|---|---|
| HRMS | [DD/MM/YYYY] | [HR Name] |
| Payroll | [DD/MM/YYYY] | [Name] |
| PF / ESIC | [DD/MM/YYYY] | [Name] |
| Insurance | [DD/MM/YYYY] | [Name] |
| Letters reissued | [DD/MM/YYYY] | [Name] |
HR will complete the correction within [number] working days and confirm to you by email. The previous value is kept only in a restricted audit log, as required for accountability, in line with your right to correction under the Digital Personal Data Protection Act, 2023.