The Model Consent Form has been developed to address the growing need for standardized, compliant consent documentation in Nigeria. This template aligns with the requirements set forth in the Nigeria Data Protection Regulation (NDPR) 2019, the Constitution of the Federal Republic of Nigeria 1999, and other relevant legislation. The Model Consent Form serves as a crucial tool for organizations seeking to obtain valid, informed consent from individuals for various purposes, including personal data processing, medical procedures, research participation, and other regulated activities. It incorporates all essential elements required by Nigerian law while maintaining sufficient flexibility to be customized for specific sectoral needs. The document is particularly important given the increasing focus on data protection and privacy rights in Nigeria, and the need for organizations to demonstrate compliance with regulatory requirements regarding consent.
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1. Title and Date: Clear identification of the document as a consent form and the date of execution
2. Parties: Identification of the organization seeking consent and the individual giving consent, including full names and contact details
3. Purpose of Consent: Clear explanation of what the consent is being sought for, including specific activities or processing
4. Information Being Collected/Processed: Detailed description of what personal information or data will be collected and how it will be used
5. Rights of the Data Subject: Explanation of the individual's rights under Nigerian law, including right to withdraw consent
6. Duration of Consent: Period for which the consent will remain valid
7. Data Security Measures: Overview of how the collected information will be protected
8. Declaration of Consent: Clear statement of consent with signature blocks for all parties
9. Contact Information: Details of who to contact for questions or to exercise rights regarding the consent
1. Medical Procedure Details: Used when consent is sought for medical procedures, including risks and benefits
2. Third Party Disclosures: Used when personal data will be shared with third parties, listing all intended recipients
3. Research Participation: Used for research studies, including methodology and participant involvement
4. Financial Implications: Used when the consent involves any costs or financial considerations
5. Multimedia Usage Rights: Used when consent includes permission for photos, videos, or audio recordings
6. Parental/Guardian Consent: Used when the data subject is a minor or requires guardian consent
7. Cross-Border Data Transfer: Used when data will be transferred outside Nigeria
1. Schedule A - Detailed Data Processing Activities: Comprehensive list of all data processing activities covered by the consent
2. Schedule B - Privacy Notice: Detailed privacy notice explaining how personal data will be handled
3. Schedule C - Withdrawal Form: Template form for withdrawing consent
4. Appendix 1 - Glossary of Terms: Definitions of technical or legal terms used in the consent form
5. Appendix 2 - Supporting Documentation: Any additional documents referenced in the main consent form
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Research & Development
Education
Financial Services
Technology
Professional Services
Media & Entertainment
Pharmaceuticals
Clinical Trials
Marketing
Human Resources
Non-Profit Organizations
Government Services
Relevant Teams
Legal
Compliance
Data Protection
Human Resources
Research & Development
Clinical Operations
Information Security
Marketing
Customer Relations
Risk Management
Ethics
Operations
Medical Affairs
Relevant Roles
Data Protection Officer
Legal Counsel
Compliance Manager
Privacy Officer
Research Coordinator
Clinical Trial Manager
Human Resources Manager
Marketing Manager
Information Security Officer
Medical Director
Project Manager
Risk Manager
Operations Manager
Customer Relations Manager
Ethics Committee Member
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