Consent Form Letter Template for Indonesia

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Key Requirements PROMPT example:

Consent Form Letter

"I need a Consent Form Letter in Bahasa Indonesia and English for a medical research study starting March 2025, which will involve collecting blood samples and personal health data from participants aged 18-65 in Jakarta."

Document background
The Consent Form Letter is a crucial legal document used in Indonesia to obtain and document informed consent from individuals for various purposes, including medical procedures, research participation, data processing, or other specific activities. This document type has gained increased importance following the implementation of Indonesia's Personal Data Protection Law (Law No. 27 of 2022) and must comply with both general contract law principles under the Indonesian Civil Code and specific regulatory requirements. The Consent Form Letter should clearly communicate the purpose, scope, and implications of the consent being sought, ensuring transparency and protecting both the rights of the consenting individual and the interests of the organization seeking consent. It serves as evidence of informed consent and should be drafted in a manner that is easily understood by the general public while maintaining legal validity.
Suggested Sections

1. Header Information: Date, reference number, and formal letterhead details

2. Recipient Details: Full name and details of the person giving consent

3. Purpose Statement: Clear explanation of what the consent is being sought for

4. Scope of Consent: Detailed description of what activities, data usage, or procedures are being consented to

5. Rights and Obligations: Clear statement of the individual's rights, including right to withdraw consent

6. Duration of Consent: Time period for which the consent remains valid

7. Declaration of Voluntary Consent: Statement confirming that consent is given freely and with understanding

8. Signature Block: Space for date, signature, and full name of the consenting individual

Optional Sections

1. Medical Procedure Details: Required when consent is sought for medical procedures, including risks and alternatives

2. Data Processing Information: Required when personal data will be processed, detailing the types of data and processing activities

3. Third Party Disclosures: Required when information or data will be shared with third parties

4. Research Participation Details: Required for research studies, including methodology and participant involvement

5. Parental/Guardian Consent: Required when the subject is a minor or legally incompetent person

6. Compensation Information: Required when there is payment or compensation involved

7. Withdrawal Procedure: Detailed process for withdrawing consent when complex procedures are involved

Suggested Schedules

1. Information Sheet: Detailed information about the procedure, research, or data processing that consent is being sought for

2. Risk Disclosure: Comprehensive list of potential risks and mitigation measures

3. Privacy Notice: Detailed information about data protection and privacy practices

4. Contact Information: List of relevant contact persons and their details for questions or concerns

5. Withdrawal Form: Template form for withdrawing consent if needed

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

Relevant Industries

Healthcare

Research & Development

Education

Financial Services

Technology

Clinical Trials

Market Research

Human Resources

Marketing

Professional Services

Insurance

Pharmaceuticals

Social Services

Data Processing

Relevant Teams

Legal

Compliance

Human Resources

Research & Development

Clinical Operations

Data Protection

Risk Management

Marketing

Information Security

Operations

Medical Affairs

Ethics & Governance

Relevant Roles

Legal Counsel

Compliance Officer

Data Protection Officer

Research Coordinator

Clinical Trial Manager

Human Resources Manager

Privacy Officer

Medical Director

Research Ethics Officer

Project Manager

Marketing Manager

Information Security Officer

Risk Manager

Operations Director

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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