The Assent Consent Form is a crucial legal document used in Indonesia to obtain and document explicit informed consent from individuals or their legal representatives. It is essential in situations requiring clear documentation of voluntary agreement, whether for medical procedures, research participation, data processing, or other significant activities. The document must comply with Indonesia's Personal Data Protection Law (PDP Law), the Civil Code, and other relevant regulations depending on the specific context. This form is particularly important given Indonesia's strengthened data protection framework and increased focus on individual rights and privacy. The document should be drafted to ensure transparency, clarity, and full compliance with Indonesian legal requirements for valid consent, including provisions for withdrawal of consent and clear explanation of rights.
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1. Identification of Parties: Details of the person/entity requesting consent and the individual giving consent, including full names, addresses, and relevant identification numbers
2. Background: Brief context explaining the purpose of the consent form and the relationship between the parties
3. Definitions: Clear definitions of key terms used in the consent form to ensure common understanding
4. Purpose of Consent: Clear statement of what the consent is being sought for, including specific activities or data processing operations
5. Scope of Consent: Detailed description of what is being consented to, including any limitations or restrictions
6. Rights of the Consenting Party: Explanation of the rights of the individual giving consent, including right to withdraw consent
7. Duration of Consent: Specification of how long the consent will remain valid
8. Declaration and Signature: Formal declaration of consent and space for signatures, dates, and witness details if required
1. Data Processing Details: Used when consent involves personal data processing, detailing specific data elements and processing activities
2. Third Party Disclosures: Include when personal information may be shared with or accessed by third parties
3. Medical Procedures Description: Required for medical consent forms, detailing specific procedures and associated risks
4. Translation Declaration: Include when the consent form is provided in multiple languages or when translation services were used
5. Parent/Guardian Authorization: Required when the consent involves minors or individuals unable to provide consent themselves
6. Confidentiality Provisions: Include when the consent involves access to or sharing of confidential information
1. Schedule A - Detailed Description of Activities: Comprehensive list and description of specific activities or procedures being consented to
2. Schedule B - Data Processing Activities: Detailed information about how personal data will be collected, processed, stored, and shared
3. Appendix 1 - Rights and Obligations: Detailed explanation of the rights and obligations of all parties under Indonesian law
4. Appendix 2 - Contact Information: Complete contact details for relevant parties, including emergency contacts and data protection officers if applicable
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