Withdrawal of Consent Request

In order for NUS to verify the authenticity of the requester, NUS will contact you for verification in person and/or via other telecommunication channels such as telephone and email.

I consent to NUS using the following information to contact me for verification purposes and, in relation to my request.

* denotes mandatory fields.
* Full name
Alias/Other name
* Contact number
* Email address
* Date of birth
* What is your relationship with NUS?	Current NUS student Current NUS staff NUS alumni NUS donor Former staff Former NUS student (non-alumni) Job applicant Research subject Student applicant Student registered in programme not leading to a degree Vendor For others, please specify :

We want to make sure that a real person is submitting this request. Please key in the verification password.

We would like to find out your reason for wishing to withdraw your consent.

Terms & Conditions

By clicking on the "Submit" button below, I hereby authorise, agree and consent to allow the National University of Singapore and its employees and agents (collectively "NUS") and NUS' third party service providers to collect, use, disclose and/or process personal data about me that I had previously provided NUS, that I now provide NUS, that I may in future provide NUS with and/or that NUS possesses about me such as but not limited to my name, my identification number, my telephone number, my address, for the purposes of: (a) processing and/or administering my request for withdrawal of consent; (b) contacting me for identification verification purposes; and (c) responding to my enquiries.