The Generic Consent Form is a fundamental legal document used across various sectors in Indonesia to obtain and document explicit permission from individuals for specific actions, procedures, or data processing. This document is designed to comply with Indonesian legal requirements, particularly Law No. 27 of 2022 on Personal Data Protection, the Civil Code, and sector-specific regulations. The form serves as evidence of informed consent and includes essential elements such as clear identification of parties, purpose of consent, rights and obligations, and proper execution requirements. Organizations should use this Generic Consent Form template when seeking explicit permission from individuals, ensuring proper documentation of consent while maintaining compliance with Indonesian legal frameworks. The template can be customized for specific use cases while retaining core legal requirements.
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1. Identity of Parties: Details of the consenting individual and the organization/entity requesting consent, including full names, addresses, and relevant identification numbers
2. Purpose and Scope: Clear explanation of why consent is being requested and what activities or processing are covered by the consent
3. Definitions: Clear definitions of key terms used in the consent form to ensure common understanding
4. Nature of Consent: Detailed description of what the individual is consenting to, including specific activities, data processing, or procedures
5. Rights and Obligations: Outline of the rights of the consenting party, including right to withdraw consent, and any obligations of both parties
6. Duration and Validity: Period for which the consent remains valid and conditions for termination or withdrawal
7. Declaration of Consent: Clear statement of consent with confirmation that the individual has read, understood, and agrees to the terms
8. Signatures: Space for dated signatures of all parties, including witnesses if required
1. Data Processing Details: Detailed information about how personal data will be collected, processed, stored, and shared - required when consent involves personal data processing
2. Medical Procedures: Detailed description of medical procedures and associated risks - required for medical consent forms
3. Third Party Disclosures: Information about third parties who may have access to information or be involved in the consented activities - required when third parties are involved
4. Financial Implications: Details of any costs or financial obligations - required when consent involves financial commitments
5. Parental/Guardian Consent: Additional section for parent/guardian authorization - required when the subject is a minor or legally incapacitated
6. Language Declaration: Statement confirming that the form has been provided in both Indonesian and other languages - required for forms in multiple languages
1. Schedule A - Detailed Description: Detailed description of procedures, activities, or data processing covered by the consent
2. Schedule B - Risk Disclosure: Comprehensive list of potential risks and implications
3. Schedule C - Privacy Notice: Detailed privacy notice explaining how personal data will be handled
4. Appendix 1 - Supporting Documents: List of any supporting documents or identification provided
5. Appendix 2 - Contact Information: Detailed contact information for relevant parties and emergency contacts
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