Full Legal Name (as recorded on original CDPO certificate):
Please describe your ongoing involvement in data protection, privacy, information governance, or related professional activities during the certification cycle.
13. Types of CPD Evidence Submitted (tick all applicable):
Provide a concise summary demonstrating how the submitted CPD activities support continued competence as a Certified Data Protection Officer. **Note:** All CPD claims must be supported by objective, verifiable evidence.
16. Applicant Declaration

I hereby declare that, throughout the certification period:

a) I have complied with the IIM Code of Professional Conduct.

b) I have acted in a manner consistent with ethical, legal, and professional obligations relating to data protection and privacy.

c) I have not engaged in conduct that may compromise the integrity of the CDPO certification.

d) I am not subject to any unresolved disciplinary, regulatory, or legal actions relevant to this certification.

17. Government-Issued Identification Submitted:
Identification is required for verification purposes only and handled in accordance with applicable data protection laws.
19. Certification Maintenance / Re-Certification Fee Paid:
Identification is required for verification purposes only and handled in accordance with applicable data protection laws.
Proof of payment must be forwarded along with other documents via email. Applications will not be processed without confirmation of payment.
Please confirm that the following have been completed/submitted:
I attest that all information provided in this application and accompanying documentation is accurate, complete, and truthful.

I acknowledge that IIM reserves the right to verify all information provided and to take appropriate action in accordance with its certification policies and ISO/IEC 17024 requirements.