The Consent For Access To Information Form is a crucial document required under Indonesian data protection law, particularly following the implementation of Law No. 27 of 2022 (PDP Law). This document is essential when organizations need to collect, process, or share personal information about individuals. It serves as a legal safeguard ensuring that data subjects are properly informed and have explicitly authorized access to their information. The form should be used whenever an organization requires access to personal data beyond basic contact information, especially for sensitive data categories or when information sharing with third parties is involved. It includes specific provisions required by Indonesian law regarding data protection measures, duration of consent, and the rights of data subjects. The document is particularly important given Indonesia's strengthened data protection framework and increased scrutiny of data processing activities.
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1. Data Subject Information: Personal details of the individual granting consent (name, ID number, contact information)
2. Data Controller Information: Details of the organization/entity requesting access to information
3. Purpose of Information Access: Clear statement of why the information is being requested and how it will be used
4. Scope of Information: Specific details of what information is being authorized for access
5. Duration of Consent: Time period for which the consent remains valid
6. Rights of the Data Subject: Statement of rights under Indonesian law including right to withdraw consent
7. Data Protection Measures: Summary of how the information will be protected and secured
8. Declaration and Signature: Formal acknowledgment and signature section for all parties
1. Third Party Disclosure: Include when information may be shared with third parties, listing specific parties or categories
2. International Data Transfer: Required when information may be transferred outside Indonesia
3. Special Categories of Data: Include when collecting sensitive personal data such as health information, religious beliefs, or biometric data
4. Emergency Contact Authorization: Include when access to emergency contact information is part of the scope
5. Witness Section: Include when additional verification of consent is required or when dealing with sensitive information
1. Schedule A - Detailed Information List: Comprehensive list of specific information items being authorized for access
2. Schedule B - Authorized Recipients: List of specific individuals or roles authorized to access the information
3. Schedule C - Security Protocols: Detailed description of security measures and data protection protocols
4. Appendix 1 - Data Subject Rights Guide: Detailed explanation of data subject rights under Indonesian law
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Insurance
Technology
Telecommunications
Human Resources
Professional Services
Government Services
Retail
Hospitality
Transportation
Research and Development
Relevant Teams
Legal
Compliance
Human Resources
Information Technology
Data Protection
Risk Management
Operations
Customer Service
Medical Records
Research
Information Security
Database Management
Records Management
Relevant Roles
Data Protection Officer
Compliance Manager
Legal Counsel
Privacy Officer
Human Resources Manager
Information Security Officer
Risk Manager
Operations Manager
Customer Service Manager
Medical Records Administrator
Research Coordinator
IT Security Manager
Database Administrator
Records Manager
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