��������Ƶ

The Consent Authorization Letter is a crucial legal instrument in Indonesian business and personal matters, designed to formally document and validate the granting of specific permissions or authorities. This document type is essential when one party needs to authorize another to act on their behalf or access their information, ensuring compliance with Indonesian data protection laws, particularly Law No. 27 of 2022 and the ITE Law. Common scenarios for using a Consent Authorization Letter include medical record access, financial transactions, document collection, or corporate representations. The document must clearly state the scope of authorization, temporal limitations, and specific powers granted, while incorporating all necessary elements to ensure legal validity under Indonesian jurisdiction. The format and content should be structured to protect both parties' interests and provide clear evidence of informed consent.

1. Date and Place: Current date and location where the letter is being executed

2. Authorizer Details: Full name, ID number (KTP), address, and contact information of the person giving authorization

3. Recipient Details: Full name, address, and relevant identification of the person/organization receiving the authorization

4. Purpose Statement: Clear statement of the specific purpose(s) for which the authorization is being granted

5. Scope of Authorization: Detailed description of what actions are being authorized and what information can be accessed or used

6. Duration: Specific period for which the authorization remains valid

7. Declaration of Consent: Explicit statement confirming voluntary consent and understanding of the authorization's implications

8. Signature Block: Space for authorizer's signature, name, and date of signing