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1. Project Title and Header Information: Clear identification of the research project, institution(s), and principal investigator(s)
2. Introduction: Brief overview of the research project and purpose of the consent form
3. Purpose of Research: Detailed explanation of why the research is being conducted and its objectives
4. Participation Requirements: What participants will be asked to do, including time commitment and procedures
5. Risks and Discomforts: Clear description of potential risks, side effects, or discomforts associated with participation
6. Benefits: Explanation of direct and indirect benefits to participants and society
7. Confidentiality and Data Protection: How personal information will be protected, stored, and used, in compliance with Indonesian PDP Law
8. Compensation: Details of any payment or reimbursement for participation
9. Voluntary Participation: Statement that participation is voluntary and can be withdrawn at any time
10. Contact Information: Details for reaching researchers, ethics committee, and relevant authorities
11. Declaration of Consent: Formal statement of consent with signature blocks for participant and researcher
1. Alternative Procedures: Information about alternative procedures or treatments, if applicable (used in medical research)
2. Future Use of Data: Details about potential future use of collected data (used when data might be used for future research)
3. Commercial Applications: Information about potential commercial applications of research findings (used in biomedical or product development research)
4. Translator Declaration: Section for translator confirmation when consent form is presented in multiple languages
5. Guardian Consent: Additional consent section for cases involving minors or individuals unable to provide consent
6. Photography/Recording Consent: Specific consent for audio/visual recording during research (used when research involves recordings)
7. Biological Samples: Specific details about collection and use of biological samples (used in medical/biological research)
1. Schedule A: Detailed Research Procedures: Step-by-step description of research procedures and participant involvement
2. Schedule B: Data Processing Activities: Detailed information about how personal data will be collected, processed, and protected
3. Schedule C: Participant Rights: Comprehensive list of participant rights under Indonesian law
4. Appendix 1: Glossary of Terms: Definitions of technical or medical terms used in the consent form
5. Appendix 2: Emergency Contact Information: Complete list of emergency contacts and relevant medical facilities
6. Appendix 3: Withdrawal Form: Template form for participants to withdraw from the study
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