The Legal Consent Form template addresses the growing need for standardized, legally-compliant consent documentation in Indonesia. It is designed to meet the requirements of the Indonesian Civil Code, Law No. 24 of 2009 regarding language requirements, and sector-specific regulations such as the Personal Data Protection Law and Healthcare Practice regulations. This document should be used whenever formal consent is required from individuals or organizations, particularly in situations involving personal data processing, medical procedures, research participation, or other activities requiring documented informed consent. The form includes mandatory bilingual text (Indonesian and English), clear consent declarations, comprehensive information disclosure, and proper execution provisions, making it suitable for both electronic and physical implementation while maintaining legal validity under Indonesian jurisdiction.
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1. Parties: Identification of all parties involved - the person/entity seeking consent and the person giving consent, including full legal names, addresses, and identification numbers
2. Background: Context and purpose of the consent form, explaining why consent is being sought
3. Definitions: Clear explanations of key terms used in the document to ensure common understanding
4. Declaration of Capacity: Statement confirming the consenting party has legal capacity to give consent
5. Subject Matter of Consent: Detailed description of what is being consented to, including scope and limitations
6. Acknowledgment of Information: Confirmation that all necessary information has been provided and understood
7. Rights and Obligations: Clear statement of rights retained by the consenting party and any obligations assumed
8. Duration and Revocation: Period of validity for the consent and procedures for withdrawing consent
9. Execution: Signature block with date and witness provisions
1. Medical Procedures: Required when consent relates to medical treatments or procedures, detailing specific medical interventions and risks
2. Data Processing: Required when personal data will be collected or processed, detailing data handling practices and privacy measures
3. Third Party Disclosures: Include when information or rights will be shared with third parties
4. Emergency Provisions: Required for medical or high-risk activity consent forms, specifying procedures in emergency situations
5. Financial Implications: Include when the consent involves financial obligations or consequences
6. Electronic Execution: Required when consent may be given electronically, specifying the electronic signature process
1. Information Sheet: Detailed information about the subject matter of consent in plain language
2. Risk Disclosure: Comprehensive list of potential risks and consequences
3. Identity Documents: Copies of identification documents of the consenting party
4. Supporting Documentation: Any relevant certificates, licenses, or supporting materials referenced in the main consent
5. Witness Declaration: Separate witness attestation form when required
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Research
Clinical Trials
Corporate
Legal Services
Insurance
Technology
Human Resources
Medical Research
Data Processing
Relevant Teams
Legal
Compliance
Risk Management
Human Resources
Medical Affairs
Research & Development
Data Protection
Clinical Operations
Corporate Governance
Administrative Services
Patient Services
Information Security
Relevant Roles
Legal Counsel
Compliance Officer
Medical Director
Research Coordinator
Data Protection Officer
Human Resources Manager
Risk Manager
Corporate Secretary
Privacy Officer
Clinical Trial Manager
Healthcare Administrator
Legal Administrator
Consent Management Specialist
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