Data Consent Form

Data Consent Form Template for Indonesia

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Key Requirements PROMPT example:

"I need a Data Consent Form for my Jakarta-based healthcare clinic that will be collecting patient medical data and sharing it with our laboratory partners, planned to be implemented by March 2025."

Document background

The Data Consent Form is a crucial document required under Indonesian law, particularly following the implementation of Law No. 27 of 2022 on Personal Data Protection (PDP Law). This document should be used whenever an organization (data controller) intends to collect and process personal data from individuals (data subjects) in Indonesia. The form serves as a legal basis for data processing activities and must clearly articulate the scope of consent being sought, the purposes of data processing, and the rights of data subjects. It should be presented to individuals before or at the point of data collection, whether for employee records, customer information, or other legitimate business purposes. The document must be written in clear, understandable language and should reflect the specific requirements of Indonesian data protection regulations, including provisions for data security, retention periods, and international transfers where relevant.

Suggested Sections

1. Parties: Identification of the Data Controller (organization collecting data) and the Data Subject (individual providing consent)

2. Background: Brief context explaining the purpose of the consent form and the relationship between parties

3. Definitions: Key terms used in the document, including 'personal data', 'processing', 'consent', and other relevant terminology as defined in the PDP Law

4. Purpose of Data Collection: Clear explanation of why personal data is being collected and how it will be used

5. Types of Personal Data: Detailed list of personal data categories to be collected and processed

6. Data Processing Activities: Description of how the personal data will be processed, stored, and protected

7. Data Subject Rights: Comprehensive list of rights under the PDP Law, including access, correction, deletion, and withdrawal of consent

8. Data Retention Period: Specific timeframe for which the personal data will be retained

9. Data Security Measures: Overview of security measures implemented to protect personal data

10. Contact Information: Details of the data protection officer or responsible party for handling data-related queries

11. Declaration of Consent: Clear statement of consent and signature section

Optional Sections

1. International Data Transfers: Required when personal data will be transferred outside Indonesia, detailing the receiving countries and protection measures

2. Sensitive Personal Data Processing: Required when collecting sensitive data such as health information, religious beliefs, or biometric data

3. Third Party Sharing: Required when personal data will be shared with third parties, listing recipients and purposes

4. Automated Decision Making: Required when personal data will be used for automated decision-making or profiling

5. Special Category Processing: Required for processing data of children or other vulnerable groups

6. Marketing Communications: Required when personal data will be used for marketing purposes

7. Cookie Policy Reference: Required for online data collection involving cookies or similar technologies

Suggested Schedules

1. Schedule 1: Detailed Data Categories: Comprehensive list of all personal data categories and specific data points to be collected

2. Schedule 2: Third Party Recipients: List of third parties who may receive the personal data, including their roles and responsibilities

3. Schedule 3: Technical and Organizational Measures: Detailed description of security measures and data protection protocols

4. Appendix A: Data Subject Rights Procedure: Step-by-step procedure for exercising data subject rights

5. Appendix B: Privacy Policy: Full privacy policy referenced in the consent form

6. Appendix C: Data Breach Notification Procedure: Procedure for notifying data subjects in case of data breaches

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Financial Services

Education

E-commerce

Technology

Telecommunications

Insurance

Human Resources

Retail

Travel and Tourism

Professional Services

Manufacturing

Real Estate

Government Services

Non-profit Organizations

Relevant Teams

Legal

Compliance

Human Resources

Information Technology

Information Security

Risk Management

Operations

Customer Service

Marketing

Data Protection

Privacy

Administrative

Relevant Roles

Data Protection Officer

Privacy Officer

Legal Counsel

Compliance Manager

HR Manager

IT Security Manager

Risk Manager

Operations Manager

Customer Service Manager

Marketing Manager

Information Security Officer

Chief Privacy Officer

Chief Information Security Officer

Chief Compliance Officer

General Counsel

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