The Staff Declaration Form is a crucial document required for employment documentation in Indonesia, designed to comply with Law No. 13 of 2003 on Manpower and related employment regulations. This form should be completed by all employees upon joining the organization and updated periodically or when significant changes occur in their employment circumstances. The document includes declarations regarding compliance with company policies, confidentiality obligations, conflicts of interest, data privacy consent, and acknowledgment of workplace safety requirements. It serves as a legal record of employee commitments and understanding of their obligations, while also protecting the employer's interests in areas such as information security and regulatory compliance.
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1. Personal Information: Employee's full details including name, employee ID, position, department, and date of joining
2. Declaration of Compliance: General statement of compliance with company policies, procedures, and Indonesian law
3. Code of Conduct Acknowledgment: Confirmation of understanding and adherence to company's code of conduct
4. Confidentiality Declaration: Commitment to maintain confidentiality of company information
5. Health and Safety Acknowledgment: Declaration of understanding workplace safety requirements and procedures
6. Data Privacy Consent: Authorization for company to process personal data in accordance with ITE Law
7. Verification and Signature: Date, signature, and witness sections for form validation
1. Conflict of Interest Declaration: Used when employee needs to disclose any potential conflicts of interest with the company's business
2. Secondary Employment Declaration: Required when company policy requires disclosure of any other employment or business interests
3. Asset Declaration: For senior positions or roles handling valuable company assets
4. Family Relations Declaration: Used when company policy requires disclosure of family members working in the same organization
5. Professional Qualifications: For roles requiring specific certifications or professional qualifications
6. Medical Information: When position requires specific health declarations or medical fitness certificates
1. Schedule A - Company Policies List: List of all company policies acknowledged in the declaration
2. Schedule B - Confidential Information Types: Detailed categorization of confidential information covered by the declaration
3. Schedule C - Declaration Update Log: Record of updates and amendments to the employee's declarations
4. Appendix 1 - Supporting Documents Checklist: List of required supporting documents to be attached to the declaration
5. Appendix 2 - Conflict of Interest Examples: Examples to help employees identify potential conflicts of interest
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Financial Services
Healthcare
Education
Retail
Construction
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Agriculture
Transportation
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Energy
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Public Sector
Non-Profit Organizations
Relevant Teams
Human Resources
Legal
Compliance
Operations
Finance
Information Technology
Administration
Research and Development
Sales
Marketing
Customer Service
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Supply Chain
Procurement
Risk Management
Relevant Roles
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