Simple Consent Form - Indonesia

Simple Consent Form Template for Indonesia

A comprehensive yet straightforward consent form template designed to comply with Indonesian law, particularly the Personal Data Protection Law (PDP Law) and Civil Code requirements. This document facilitates the formal recording of informed consent from individuals for various purposes, including data processing, participation in activities, or receipt of services. The form incorporates essential elements required under Indonesian legislation while maintaining accessibility and clarity for all parties involved, ensuring both legal compliance and practical usability.

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What is a Simple Consent Form?

The Simple Consent Form serves as a fundamental legal document in Indonesian business and organizational operations, designed to obtain and record informed consent from individuals in various contexts. This document type is essential when organizations need to secure explicit permission for activities such as data processing, participation in research, medical procedures, or service provision. The form must comply with Indonesian legislation, particularly the Personal Data Protection Law (PDP Law) of 2022, the Electronic Information and Transactions Law, and the Civil Code. It's commonly used in situations requiring clear documentation of voluntary agreement, featuring straightforward language while maintaining legal validity. The Simple Consent Form includes essential elements such as party identification, purpose specification, scope of consent, and clear statements of rights, making it suitable for both electronic and physical execution.

What sections should be included in a Simple Consent Form?

1. Title and Date: Clear identification of the document as a Consent Form and the date of execution

2. Parties: Identification of the party giving consent (the 'Consenting Party') and the party receiving consent (the 'Requesting Party'), including full legal names and addresses

3. Background: Brief context explaining why consent is being requested and the general purpose of the consent

4. Definitions: Clear definitions of key terms used in the consent form

5. Purpose of Consent: Detailed explanation of what specific activities or actions are being consented to

6. Scope of Consent: Clear boundaries of what is and isn't included in the consent

7. Duration: Period for which the consent remains valid

8. Rights of the Consenting Party: Statement of rights including the right to withdraw consent

9. Declarations: Statements confirming the consenting party's understanding and voluntary agreement

10. Execution: Signature blocks for all parties, including date and place of signing

What sections are optional to include in a Simple Consent Form?

1. Data Processing Details: Required when consent involves personal data processing, detailing how data will be collected, stored, and used

2. Third Party Disclosure: Include when consent involves sharing information with third parties

3. Special Categories of Data: Required when collecting sensitive personal data as defined in Indonesian PDP Law

4. Digital/Electronic Consent Provisions: Include when consent will be given electronically, ensuring compliance with ITE Law

5. Translation Declaration: Include when the consent form is provided in multiple languages

6. Parent/Guardian Consent: Required when the consenting party is a minor or lacks legal capacity

7. Compensation Details: Include if there is any payment or compensation involved in exchange for consent

What schedules should be included in a Simple Consent Form?

1. Description of Activities: Detailed description of specific activities or procedures being consented to, if too lengthy for main document

2. Privacy Notice: Detailed privacy notice explaining data handling practices in compliance with PDP Law

3. List of Third Parties: If applicable, list of third parties who will have access to information or data

Authors

Alex Denne

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

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An Indonesian-law compliant combined informed consent and health declaration document for medical procedures and treatments, meeting national healthcare regulatory requirements.

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Generate a Bespoke Document

Download a Standard Simple Consent Form

Review your own Simple Consent Form

What is a Simple Consent Form?

What sections should be included in a Simple Consent Form?

What sections are optional to include in a Simple Consent Form?

What schedules should be included in a Simple Consent Form?

Authors

Alex Denne

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