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Report a data breach

New or existing incident?*
- New
- Existing, the number is:
Incidentnumber*
Contact details reporter
Name*
First Last
Title
Organization*
E-mail address*
Phonenumber*
Cellphone
Incident details
Date and time when the leak or incident probably started
Date*
DD dash MM dash YYYY
Time*

: Hours

Minutes
Date and time of when the incident was discovered
Date*
MM slash DD slash YYYY
Time*

: Hours

Minutes
Personal data involved*
- Name, address and city details
- Phonenumbers
- E-mail addresses or other addresses for electronic communication
- Access or identification data (for example, login name / password or customer number)
- Financial data (for example, account number, credit card number)
- Citizen service number (social security number) or social security number
- Passport copies or copies of other identification documents
- Gender, date of birth and / or age
- Criminal information
- Special personal data (for example, race, ethnicity, political affiliation, union membership, religion, sexual life, medical information.)
- Other information, namely:
Other information, namely:*
Which group(s) of people is involved?*

For example: Customers, employees, certain groups, etc.
Indication or estimate of the number of people involved in the infringement*
Short description of the incident in which the breach of the security of (personal) data has occurred*
Estimation of the seriousness of the possible consequences for those involved*
- Negligible
- Limited
- Substantial
- Very big
What countermeasures have been taken to prevent (further) infringement or to limit it as much as possible?*

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QuandaGo

QuandaGo is a cloud customer experience software company focused on contact centers, knowledge management and business automation.

Rivium Quadrant 2
2909 LC
Capelle aan den IJssel
The Netherlands

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