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Consent Declaration Form Template for Indonesia

A comprehensive consent declaration form compliant with Indonesian law, particularly Law No. 27 of 2022 on Personal Data Protection (PDP Law). This document serves as a formal record of an individual's informed consent for the collection, processing, and potential transfer of their personal data. The form includes mandatory elements required by Indonesian regulations, such as clear purpose specification, processing details, and the data subject's rights, while ensuring transparency and compliance with data protection principles.

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What is a Consent Declaration Form?

The Consent Declaration Form is a fundamental document required under Indonesian data protection law, specifically aligned with Law No. 27 of 2022 (PDP Law) and related regulations. This document is essential whenever organizations collect, process, or transfer personal data of individuals in Indonesia. The form serves as evidence of informed consent and must clearly outline the purpose of data collection, intended processing activities, and the rights of the data subject. It should be used prior to any personal data processing activities and must be updated when there are significant changes to processing activities. The document is particularly crucial given Indonesia's strengthened data protection framework and increasing regulatory scrutiny of data processing activities.

What sections should be included in a Consent Declaration Form?

1. Identity of Declarant: Full details of the individual providing consent, including name, ID number, and contact information

2. Purpose and Scope: Clear statement of what the consent is for and the scope of activities or data processing being consented to

3. Declaration of Consent: Express statement of consent with confirmation that it is given freely and with full understanding

4. Data Processing Details: Specific information about how personal data will be collected, processed, stored, and potentially shared

5. Rights of the Declarant: Explanation of the declarant's rights regarding their data, including right to withdraw consent

6. Duration of Consent: Specification of how long the consent remains valid and conditions for termination

7. Contact Information: Details of the organization receiving consent and relevant contact persons for queries or concerns

8. Signature and Date: Space for signature (physical or electronic) and dating of the declaration

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

1. Third Party Disclosures: Additional section when personal data may be shared with or processed by third parties

2. International Data Transfers: Required when personal data may be transferred outside of Indonesia

3. Special Categories of Data: Additional declarations required when processing sensitive personal data such as health information

4. Guardian Consent: Required when the declarant is a minor or legally incapacitated person

5. Digital Verification Methods: Required for electronic consent forms, detailing the electronic signature or verification process

6. Language Declaration: Required when the form is bilingual or when the declarant's primary language is not Indonesian

What schedules should be included in a Consent Declaration Form?

1. Schedule A - Details of Personal Data: Comprehensive list of personal data types being collected and processed

2. Schedule B - Processing Activities: Detailed description of all data processing activities covered by the consent

3. Schedule C - Third Party Recipients: List of third parties who may receive or process the personal data

4. Appendix 1 - Privacy Notice: Detailed privacy notice providing additional information about data processing practices

5. Appendix 2 - Data Subject Rights: Detailed explanation of rights under Indonesian data protection law

Authors

Alex Denne

Advisor @ 蜜桃传媒AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Indonesia

Document Type

Consent Form

Cost

Free to use

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