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Account Deletion Request Form
Please fill out this form to request the deletion of your account. Note that this action is irreversible, and all data associated with your account will be permanently deleted.
* Indicates required question
Email
*
Record my email address with my response
Full Name
*
Your answer
Email Address
*
Your answer
Contact Number
*
Your answer
Reason for Account Deletion (Optional)
Your answer
Confirmation Checkbox
*
I confirm that I understand the permanent effects of this action and consent to the deletion of my account and all associated data
Required
Digital Signature or Consent Field
*
Please type your full name to serve as a digital signature confirming your request.
Your answer
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