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1. Parties: Identification of the authorizing individual (data subject) and the entity/person authorized to release the information, including full legal names, identification numbers, and contact details
2. Background: Brief context explaining the purpose and necessity of the authorization
3. Definitions: Clear definitions of key terms used in the authorization, including types of information, parties involved, and technical terms
4. Scope of Authorization: Detailed description of what information is authorized for release, including specific categories of personal information
5. Purpose of Disclosure: Clear statement of the specific purpose(s) for which the information may be used, as required by POPIA
6. Duration of Authorization: Specification of the time period for which the authorization remains valid, including start and end dates
7. Rights and Responsibilities: Outline of the rights retained by the authorizing party and the responsibilities of the recipient(s) of the information
8. Revocation: Terms and process for revoking the authorization, including notice requirements
9. Privacy Protection: Statements regarding the protection measures to be implemented for the shared information
10. Signatures: Space for signatures, dates, and witness details where required
1. Third Party Recipients: Additional section when information may be shared with specific third parties beyond the primary recipient
2. Special Categories of Information: Required when authorization includes sensitive personal information as defined in POPIA (e.g., health, criminal records, religious beliefs)
3. Electronic Communication Consent: Required when information will be shared via electronic means, addressing requirements under the Electronic Communications and Transactions Act
4. Cross-border Transfer: Required when information may be transferred outside South Africa, addressing POPIA's requirements for transborder information flows
5. Emergency Disclosure: Optional section authorizing release of information in emergency situations
1. Schedule A - Categories of Information: Detailed list of specific information categories authorized for release
2. Schedule B - Authorized Recipients: Complete list of authorized recipients and their contact details
3. Schedule C - Security Measures: Description of security measures to be implemented by recipients when handling the information
4. Appendix 1 - Consent Withdrawal Form: Template form for withdrawing consent and revoking authorization
Healthcare
Financial Services
Insurance
Education
Legal Services
Human Resources
Real Estate
Banking
Telecommunications
Government Services
Professional Services
Social Services
Legal
Compliance
Human Resources
Information Technology
Records Management
Risk Management
Operations
Customer Service
Data Protection
Information Security
Administrative Services
Information Officer
Compliance Manager
Legal Counsel
Privacy Officer
Risk Manager
Human Resources Manager
Medical Records Administrator
Financial Advisor
Insurance Underwriter
School Administrator
Data Protection Officer
Operations Manager
Customer Service Manager
Records Manager
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ұԾ’s Security Promise
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We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
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We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it


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