Background Declaration Form Template for Indonesia

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Key Requirements PROMPT example:

Background Declaration Form

"I need a Background Declaration Form for our Jakarta-based fintech company that will be used for senior executive hires starting January 2025, with specific focus on financial history disclosure and regulatory compliance in the Indonesian financial services sector."

Document background

The Background Declaration Form is a fundamental document in Indonesian business and employment practice, required for due diligence and compliance purposes. It is typically used during recruitment processes, periodic employee verifications, regulatory compliance checks, and appointments to positions of trust. The document is structured to comply with Indonesian laws including the Manpower Act, Personal Data Protection regulations, and relevant industry-specific requirements. It captures comprehensive information about an individual's background, including personal details, educational qualifications, employment history, and various declarations regarding criminal records, financial status, and conflicts of interest. The form serves as a legal record and basis for verification, with significant implications under Indonesian law for false declarations. It's particularly important in regulated industries and for positions requiring high levels of trust and integrity.

Suggested Sections

1. Personal Information: Basic identification details including full name, place and date of birth, nationality, ID number (KTP), and current contact information

2. Declaration of Truth: Statement confirming that all information provided in the form is true and accurate

3. Educational Background: Details of formal education, including institutions attended, periods of study, and qualifications obtained

4. Employment History: Chronological list of previous employment positions, including company names, dates, positions held, and reasons for leaving

5. Criminal Record Declaration: Declaration regarding any criminal convictions or ongoing legal proceedings

6. Financial Status Declaration: Declaration regarding bankruptcy status and financial obligations

7. Conflict of Interest Declaration: Disclosure of any potential conflicts of interest with the hiring organization

8. Data Protection Acknowledgment: Consent for collection and processing of personal data in accordance with Indonesian law

9. Verification Authorization: Authorization for the organization to verify the information provided

10. Signature and Date: Space for applicant's signature and date of completion

Optional Sections

1. Professional Licenses: Section for listing professional certifications and licenses, required for regulated professions

2. Health Declaration: Declaration of health status, typically required for positions with specific physical requirements

3. Family Information: Details of immediate family members, required for security-sensitive positions

4. International Travel History: Record of international travel, typically required for security clearance positions

5. Social Media Declaration: Declaration of social media accounts and online presence, relevant for public-facing roles

6. Drug Test Consent: Consent for drug testing, required for positions in certain industries or with safety requirements

Suggested Schedules

1. Document Checklist: List of required supporting documents to be submitted with the form

2. Privacy Notice: Detailed information about how personal data will be collected, used, and protected

3. Verification Process Guide: Information about the background verification process and timeline

4. Required Certificates: List of specific certificates or documents required for the position

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 | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Banking and Financial Services

Education

Healthcare

Technology

Manufacturing

Government and Public Sector

Mining and Resources

Transportation and Logistics

Retail and Consumer Goods

Professional Services

Construction

Energy

Telecommunications

Hospitality and Tourism

Defense and Security

Relevant Teams

Human Resources

Legal and Compliance

Risk Management

Security

Corporate Governance

Employee Relations

Talent Acquisition

Personnel Administration

Background Verification

Corporate Secretary Office

Relevant Roles

Chief Executive Officer

Chief Financial Officer

Director

Manager

Bank Officer

Teacher

Healthcare Professional

Government Official

Security Officer

Human Resources Executive

Financial Analyst

Company Secretary

Board Member

Compliance Officer

Project Manager

Senior Engineer

Department Head

Security Clearance Personnel

Public Service Officer

Financial Services Representative

Find the exact document you need

Declaration Of Representative

An Indonesian legal document authorizing a representative to act on behalf of a principal, executed under Indonesian law and notarial requirements.

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Let's create your Background Declaration Form

Authors

Alex Denne

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