Assent Consent Form Template for Indonesia

A comprehensive consent form document governed by Indonesian law, specifically designed to obtain and record explicit consent from individuals or their legal representatives. The document complies with Indonesia's Personal Data Protection Law (PDP Law) and relevant provisions of the Indonesian Civil Code, ensuring proper documentation of informed consent for various purposes including data processing, medical procedures, research participation, or service provision. It includes mandatory elements such as clear purpose specification, scope of consent, duration, and the rights of the consenting party, while incorporating specific requirements under Indonesian jurisdiction for valid consent documentation.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Get template free
Upload to review

Your data doesn't train Genie's AI

You keep IP ownership of your docs

4.6 / 5
4.6 / 5
4.8 / 5

What is a Assent Consent Form?

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.

What sections should be included in a Assent Consent Form?

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

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

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

What schedules should be included in a Assent Consent Form?

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

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Indonesia

Publisher

Genie AI

Document Type

Consent Form

Cost

Free to use

Find the exact document you need

Informed Consent And Health Declaration Form

An Indonesian-law compliant combined informed consent and health declaration document for medical procedures and treatments, meeting national healthcare regulatory requirements.

Download

Informed Consent Form

Indonesian-compliant Informed Consent Form for medical procedures or research participation, meeting local healthcare regulations and patient rights requirements.

Download

Beauty Consent Form

An Indonesian-law compliant consent form for beauty treatments and procedures, ensuring informed client consent and legal protection for service providers.

Download

Aesthetic Consent Form

An Indonesian-compliant informed consent form for aesthetic procedures, meeting local healthcare regulations and protecting both provider and patient interests.

Download

Iv Consent Form

An Indonesian-compliant informed consent form for IV procedures, meeting local healthcare regulations and ensuring documented patient consent.

Download

Consent Document

An Indonesian law-compliant consent document for personal data collection and processing under the PDP Law.

Download

Patient Consent Form For Treatment

An Indonesian-compliant medical consent form documenting patient authorization for treatment, aligned with local healthcare regulations.

Download

Travel Permission Letter For Minor

An Indonesian legal document authorizing minor travel, compliant with national child protection and immigration laws.

Download

Consent Permission Letter

An Indonesian law-compliant formal letter documenting explicit authorization from one party to another, establishing legal consent for specific actions or purposes.

Download

Certificate Of Consent Form

An Indonesian law-compliant document that formally records and validates explicit consent for specific activities or procedures.

Download

Permission Letter From Parents

An Indonesian law-compliant document where parents/guardians authorize specific activities or services for their minor child.

Download

Employee Media Release Form

An Indonesian law-compliant consent form authorizing employer use of employee media content, including images and recordings, for company purposes.

Download

Photo Authorization Form

An Indonesian law-compliant authorization form for photographic usage rights, ensuring proper consent and data protection under local regulations.

Download

Waxing Consent Form

An Indonesian-compliant consent form for waxing services that documents client approval and understanding of the procedure, risks, and aftercare requirements.

Download

Sports Consent Form

An Indonesian-compliant consent form for sports participation that covers risk acknowledgment, medical declarations, and liability releases under Indonesian sports law.

Download

Reference Consent Form

An Indonesian-law compliant consent form authorizing the release of employment references, aligned with local PDP and employment regulations.

Download

Participant Consent Form

An Indonesian-compliant legal document for obtaining informed consent from research participants, adhering to local data protection and research regulations.

Download

Nail Consent Form

An Indonesian-compliant consent form for nail treatments, documenting client approval and treatment details while meeting local health and safety regulations.

Download

Data Privacy Consent Form

An Indonesian law-compliant Data Privacy Consent Form for obtaining explicit consent for personal data processing under UU PDP requirements.

Download

Consent Declaration Form

An Indonesian law-compliant consent declaration form for personal data collection and processing under the PDP Law.

Download

Video Consent And Release Form

An Indonesian law-compliant consent form for video recording and usage rights, protecting both content creators and participants under local data protection regulations.

Download

Statement Of Consent

An Indonesian law-compliant document recording explicit permission for specific actions or data processing, governed by the Civil Code and Personal Data Protection Law.

Download

Social Media Consent Form

An Indonesian law-compliant consent form for social media content usage and personal data processing, aligned with PDP Law requirements.

Download

Personal Information Consent Form

An Indonesian law-compliant consent form for personal data collection and processing under the PDP Law, ensuring legal data handling and subject rights protection.

Download

Permission To Treat Form

An Indonesian-compliant medical consent form documenting patient authorization for healthcare treatment, aligned with local health regulations and patient rights requirements.

Download

Parental Consent Letter

An Indonesian law-compliant document allowing parents/guardians to authorize specific permissions regarding their minor child.

Download

Parent Consent Form For Work

An Indonesian legal document providing parental/guardian authorization for minor employment, ensuring compliance with national labor laws and child protection regulations.

Download

Mutual Consent Agreement

An Indonesian law-governed agreement documenting mutual understanding and consent between parties, establishing agreed terms and conditions.

Download

Media Permission Form

An Indonesian-compliant legal document granting permission for media content usage, subject to Indonesian copyright and data protection laws.

Download

Letter Of Consent Form

An Indonesian-law governed document that formally captures explicit permission or authorization from an individual or entity for specific actions or uses, ensuring compliance with local consent and data protection regulations.

Download

Generic Consent Form

An Indonesian law-compliant consent form template for documenting explicit permission from individuals, adhering to PDP Law requirements.

Download

Employee Consent Letter

An Indonesian-law governed document obtaining explicit employee consent for specific workplace actions or data usage, complying with local labor and data protection laws.

Download

Consent And Indemnity Form

An Indonesian law-governed document combining explicit consent provisions with indemnification terms to manage risk and liability between parties.

Download

Massage Consent Form

An Indonesian-compliant consent form for massage services that documents client approval, health information, and data privacy agreements under local healthcare regulations.

Download

Consent Letter For Rent Agreement

An Indonesian law-compliant formal letter providing authorized consent for rental arrangements, incorporating local property regulations and civil code requirements.

Download

Consent For Surgery Form

An Indonesian-compliant surgical consent form documenting patient authorization and understanding of proposed surgical procedures, risks, and benefits.

Download

Filming Permission Form

An Indonesian law-governed permission form authorizing filming activities at specific locations, establishing terms and conditions for film production while ensuring regulatory compliance.

Download

Consent For Access To Information Form

An Indonesian law-compliant consent form for authorized access to personal information, aligned with the PDP Law requirements.

Download

Spa Consent Form

An Indonesian-law compliant spa consent form capturing client information, medical history, and treatment authorizations while ensuring regulatory compliance with local spa service requirements.

Download

Photography Consent And Release Form

An Indonesian law-compliant consent and release form for photography services, protecting both photographer and subject rights under local data protection and copyright laws.

Download
See more related templates

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

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

2 Docs LeftAccess Now