Simple Intake Form Template for Nigeria

The Simple Intake Form is a fundamental document used across various sectors in Nigeria to initiate service relationships and gather essential client information. This document type is particularly important in the Nigerian context, where both the Nigeria Data Protection Regulation (NDPR) 2019 and Consumer Protection laws require careful handling of personal information and transparent service provision. The intake form serves as the first point of contact between service providers and clients, collecting necessary details while ensuring compliance with local regulations. It typically includes sections for personal information, contact details, service requirements, and relevant declarations, with the flexibility to add optional sections based on specific industry needs. The form's structure allows for both digital and physical completion, making it adaptable to various business environments while maintaining legal compliance.

1. Personal Information: Basic identification details including full name, date of birth, gender, and national ID number

2. Contact Details: Address, phone numbers, email, and preferred contact method

3. Emergency Contact Information: Name, relationship, and contact details for emergency contact person

4. Purpose of Service: Brief section indicating the service or purpose for which the intake form is being completed

5. Data Protection Notice: Statement on how personal information will be collected, used, and protected in compliance with NDPR 2019

6. Declaration: Statement confirming information accuracy and consent for data processing