Create a bespoke document in minutes, or upload and review your own.
Get your first 2 documents free
Your data doesn't train Genie's AI
You keep IP ownership of your information
Consent Release Form
"I need a Consent Release Form for a medical research study in Jakarta, Indonesia, where participants will provide consent for their medical data to be used in a clinical trial running from March 2025 to December 2025, with specific provisions for data privacy and the right to withdraw from the study."
1. Parties: Identification of the person giving consent (Consenting Party) and the organization/individual receiving the consent (Receiving Party), including full legal names and addresses
2. Background: Brief context explaining the purpose of the consent and release
3. Definitions: Clear definitions of key terms used in the document, particularly defining the scope of what is being consented to or released
4. Consent Declaration: Clear and explicit statement of consent, specifically outlining what activities, uses, or rights are being consented to
5. Rights Granted: Detailed description of the rights being granted through the consent, including any limitations or restrictions
6. Duration: Period for which the consent remains valid, including start date and end date if applicable
7. Privacy Notice: Statement regarding how personal data will be handled, in compliance with Indonesian PDP Law
8. Representations and Warranties: Statements confirming the consenting party has the right and capacity to give consent
9. Execution: Signature blocks and execution requirements
1. Revocation Rights: Section detailing how and when consent can be withdrawn, particularly important for ongoing consent situations
2. Compensation: Include when there is payment or consideration involved in exchange for the consent
3. Indemnification: Optional protection clause for the receiving party, particularly relevant in commercial or high-risk contexts
4. Electronic Consent: Section addressing electronic execution if relevant, ensuring compliance with ITE Law
5. Governing Law and Jurisdiction: While Indonesian law applies, this section can specify particular jurisdiction within Indonesia for dispute resolution
6. Language Requirements: Required when the form will be bilingual, specifying which language version prevails
1. Description of Consented Activities: Detailed list or description of specific activities, uses, or rights being consented to
2. Data Processing Details: If personal data is involved, detailed information about how data will be collected, processed, and stored
3. Identification Documents: Copies of relevant identification documents of the consenting party
4. Parent/Guardian Authorization: Required when consent involves minors or individuals requiring guardian approval
Authors
Receiving Party
Authorized Representative
Consent
Release
Personal Data
Sensitive Personal Data
Data Processing
Authorized Uses
Consent Period
Effective Date
Materials
Confidential Information
Electronic Signature
Intellectual Property Rights
Licensed Rights
Related Parties
Territory
Permitted Purpose
Force Majeure
Revocation Notice
Authorized Activities
Governing Law
Privacy Notice
Compensation
Third Party Rights
Consent Materials
Data Controller
Data Processor
Applicable Laws
Authorization
Data Protection
Privacy
Release of Rights
Representations and Warranties
Liability
Indemnification
Duration
Termination
Revocation Rights
Confidentiality
Electronic Execution
Notice
Governing Law
Dispute Resolution
Assignment
Severability
Entire Agreement
Amendment
Force Majeure
Language
Counterparts
Healthcare
Education
Media and Entertainment
Market Research
Clinical Research
Photography and Visual Arts
Human Resources
Financial Services
Technology
Sports and Recreation
Tourism and Hospitality
Non-profit Organizations
Advertising and Marketing
Professional Services
Legal
Compliance
Human Resources
Research and Development
Marketing
Data Protection
Operations
Risk Management
Public Relations
Clinical Operations
Administrative Services
Privacy
Legal Counsel
Compliance Officer
Human Resources Manager
Research Coordinator
Marketing Director
Data Protection Officer
Medical Administrator
Project Manager
Corporate Secretary
Risk Manager
Operations Manager
Public Relations Manager
Clinical Trial Coordinator
Educational Administrator
Privacy Officer
Find the exact document you need
Client Authorisation
An Indonesian law-governed document that establishes and defines the scope of authority granted by a client to their appointed representative, requiring compliance with local legal requirements including language and notarization.
Post Office Authorisation Form
An Indonesian legal document authorizing representatives to conduct postal transactions on behalf of individuals or organizations under Indonesian postal regulations.
Authorization Note
An Indonesian law-compliant document that formally delegates specific powers from a principal to an agent, typically requiring notarization and Indonesian language usage.
Authorization For Credit Card Use
An Indonesian law-compliant agreement authorizing designated individuals to use a credit card under specified terms and conditions.
Authorisation Letter On Behalf
An Indonesian law-governed document that formally delegates specific powers from an authorizer to an authorized person, enabling them to act on the authorizer's behalf.
Request For Authorization Letter
An Indonesian legal document that formally delegates specific powers from an authorizer to an authorized representative, compliant with Indonesian Civil Code requirements.
Legal Authorization Letter
An Indonesian-law compliant document that formally delegates specific legal powers from a principal to an appointed representative, requiring proper notarization and stamp duty.
Authorization Letter For Senior Citizen To Claim Money
An Indonesian legal document authorizing a representative to claim money on behalf of a senior citizen, compliant with Indonesian Civil Code and elderly protection laws.
Authorization Letter To Collect Money
An Indonesian legal document authorizing a designated person to collect money on behalf of another party, compliant with Indonesian civil law and financial regulations.
Authorization Letter To Withdraw Money
An Indonesian legal document authorizing a designated person to withdraw funds from another's bank account, compliant with Indonesian banking regulations and civil code requirements.
Authorization Letter To Collect Cheque Book
An Indonesian law-compliant authorization letter enabling a designated person to collect a cheque book from a bank on behalf of the account holder.
Authorization Letter In Claiming Money
An Indonesian legal document authorizing a designated person to claim or collect money on behalf of another party, compliant with Indonesian banking and civil law requirements.
Authorization Letter For Claiming Financial Assistance
An Indonesian law-compliant authorization letter enabling a designated person to claim financial assistance on behalf of another individual.
Authorization Letter To Claim Cash Assistance
An Indonesian legal document authorizing a designated person to collect cash assistance or social benefits on behalf of an entitled beneficiary, compliant with Indonesian civil law requirements.
Authorization Letter For Claiming Salary
An Indonesian legal document authorizing a designated person to collect salary on behalf of an employee, compliant with Indonesian Civil Code and labor laws.
Eft Agreement
An Indonesian law-governed Electronic Funds Transfer Agreement establishing terms for electronic payment services and compliance with local banking regulations.
Authorization Letter To Claim Scholarship Allowance
An Indonesian legal document authorizing a designated person to collect scholarship allowances on behalf of the recipient, complying with local civil law and educational institution requirements.
Release Authorization
An Indonesian law-compliant document that formally authorizes the release, access, or use of specific information or materials between designated parties.
Passport Parent Consent Form
An Indonesian legal document providing parental authorization for a minor's passport application, complying with Indonesian immigration law and regulations.
Authorization Letter To Pick Up Parcel
An Indonesian legal document authorizing a designated person to collect a parcel on behalf of the rightful recipient, governed by Indonesian postal regulations and civil law.
Approval Permission Letter To Conduct Research
An official Indonesian government document granting authorization to conduct research activities within Indonesia, subject to specified conditions and timeframes.
Authorization Agreement
An Indonesian law-governed agreement establishing an agency relationship between principal and agent, defining authorized powers and responsibilities.
Authorization Letter To Claim Cheque
An Indonesian legal document authorizing a designated person to collect and cash a cheque on behalf of the principal, in compliance with Indonesian banking regulations.
Consent To Treat Minor Without Parent
An Indonesian legal document authorizing healthcare providers to treat a minor patient without parental presence, in compliance with Indonesian Health Law and Child Protection regulations.
To Whom It May Concern Authorization Letter
An Indonesian law-compliant authorization letter granting specific powers from one party to another, with proper authentication and stamp duty requirements.
Consent To Disclosure Of Information
An Indonesian law-compliant document authorizing the disclosure of personal or confidential information under the 2022 PDP Law framework.
Consent Authorization
An Indonesian law-compliant authorization document for personal data processing under PDP Law requirements.
Authorization Letter For Embassy
An Indonesian-law governed authorization letter that enables a designated person to conduct embassy-related matters on behalf of the authorizer.
Authorization Letter For Cheque
An Indonesian legal document authorizing a designated person to handle specific cheque transactions on behalf of an account holder, compliant with Indonesian banking regulations.
Authorisation Letter For Passport Collection
An Indonesian legal document authorizing a designated person to collect a passport on behalf of the applicant, compliant with Indonesian immigration laws.
Letter To Bank For Change In Authorised Person
An official letter used in Indonesia to inform banks about and request changes to authorized account signatories, complying with Indonesian banking regulations.
Authorised Signatory Letter
An Indonesian law-compliant document authorizing specific individuals to sign documents and conduct transactions on behalf of a company.
Authorisation Letter To Collect Certificate
An Indonesian legal document authorizing a designated person to collect certificates or important documents on behalf of another individual, compliant with Indonesian civil law requirements.
Authorisation Letter For Collection
An Indonesian legal document authorizing a designated party to collect specific items, documents, or money on behalf of the authorizer.
Authorization Letter To Represent On Behalf
An Indonesian legal document authorizing a representative to act on behalf of an individual or entity, compliant with Indonesian Civil Code requirements.
ACH Form
An Indonesian ACH Form enabling regulated electronic fund transfers within Indonesia's banking system, compliant with Bank Indonesia regulations.
Authorization Letter To Deposit Check To My Account
An Indonesian legal document authorizing a specific individual to deposit a check into the account holder's bank account, compliant with Indonesian banking regulations.
Authorization Letter To Act On My Behalf
An Indonesian legal document that authorizes a designated person to act on behalf of another, governed by Indonesian Civil Code and local regulations.
Authorization Letter For Claiming ATM Card
An Indonesian banking document authorizing a designated person to collect an ATM card on behalf of the card owner, in compliance with Indonesian banking regulations.
Authorization Letter To Get Money
An Indonesian legal document authorizing a designated person to collect or withdraw money on behalf of another party, governed by Indonesian civil law.
Authorization Letter To Request Documents
An Indonesian law-compliant authorization letter empowering a representative to request and collect specific documents on behalf of the principal.
Direct Debit Authorisation Form
An Indonesian-compliant form authorizing regular automatic payments from a customer's bank account to designated recipients, governed by Bank Indonesia regulations.
Authorization Letter To Submit Visa Application
An Indonesian law-compliant authorization letter enabling a designated representative to handle visa application processes on behalf of the applicant.
Permission Letter Of Authorization From Property Owner
An Indonesian legal document where a property owner formally grants specific rights and permissions regarding property use or access to another party, governed by Indonesian property law.
Eft Authorization Form
Indonesian-compliant Electronic Funds Transfer Authorization Form for secure and regulated electronic payment processing under Indonesian banking laws.
Client Authorisation Form
An Indonesian law-compliant document that formally authorizes a representative to act on behalf of a client within specified parameters.
Authorization For Release Of Medical Information
An Indonesian-law compliant authorization form for the release of medical information between specified parties, incorporating required privacy protections and patient rights.
Authorization Letter For Receiving Package
An Indonesian law-compliant authorization letter enabling a designated person to receive packages on behalf of another party.
Consent Letter For Field Trip
An Indonesian-law compliant consent letter for obtaining parental authorization for school field trips, incorporating required safety and supervision provisions.
Authorization Letter For Utility Bill
An Indonesian law-compliant authorization letter enabling a designated party to manage utility bills and related matters on behalf of the account holder.
Authorized Representative Verification Letter
An Indonesian law-governed document that officially verifies and establishes a representative's authority to act on behalf of a company or organization.
Authorization Letter For Vehicle Use
An Indonesian law-compliant document authorizing specified individual(s) to use and operate a vehicle under defined terms and conditions.
Self Authorization Letter
An Indonesian legal document granting self-authorization powers to an individual for specific purposes under Indonesian law.
Apostille Authorization Letter
An Indonesian law-governed authorization letter empowering a representative to handle apostille-related matters, compliant with both local regulations and the Hague Convention requirements.
Automatic Deposit Form
An Indonesian-compliant banking form for setting up automatic, recurring deposit arrangements between accounts, adhering to local banking and consumer protection regulations.
Authorization For Release Of Information Form
An Indonesian law-compliant authorization form for the controlled release of personal or confidential information, aligned with the country's PDP Law requirements.
Authorization Letter To Claim
An Indonesian legal document authorizing a designated party to claim specific items, funds, or benefits on behalf of the authorizer, compliant with Indonesian civil law requirements.
Authorization Letter For Sim Card Replacement
An Indonesian legal document authorizing a designated person to replace a SIM card on behalf of the original owner, compliant with Kominfo regulations.
Authorization Letter For Transaction
An Indonesian legal document granting specific transaction authority to a designated representative, governed by Indonesian Civil Code.
Consent Letter To Give Permission
An Indonesian law-compliant document that formally grants specific permission from one party to another, serving as legal evidence of authorization.
Authorization Letter To Close Bank Account
An Indonesian legal document authorizing a designated person to close a bank account on behalf of the account holder, compliant with Indonesian banking regulations.
Letter For Giving Permission
An Indonesian legal document that formally grants specific permissions or authorization from one party to another, complying with Indonesian civil law requirements.
Authorization Letter For Payment On My Behalf
An Indonesian legal document authorizing a designated person to make payments on behalf of the principal, compliant with Indonesian Civil Code and banking regulations.
Authorization Letter For Payment On Behalf
An Indonesian legal document authorizing a designated party to make payments on behalf of another, governed by Indonesian civil law and banking regulations.
Authorization Letter For Medical Records
An Indonesian-compliant authorization letter allowing the release of medical records to specified parties, governed by Indonesian healthcare privacy laws.
Authorization Letter For Opening Bank Account
An Indonesian legal document authorizing a designated person to open and establish a bank account on behalf of another individual or entity, in compliance with Indonesian banking regulations.
Authorization Letter For Land Title
An Indonesian legal document granting authority to a representative to handle land title matters and property transactions on behalf of the owner.
Authorization Letter For Baptismal Certificate
An Indonesian legal document authorizing a designated person to obtain or collect a baptismal certificate on behalf of another individual, compliant with both civil and religious requirements.
Authorization Letter For Electric Connection
An Indonesian legal document authorizing a designated party to handle electricity connection matters with PLN on behalf of a property owner or tenant.
Authorization Letter For Diploma
An Indonesian legal document authorizing a designated person to handle diploma-related matters on behalf of the document owner, in compliance with Indonesian education and civil law requirements.
Caregiver's Authorization Affidavit
An Indonesian legal document authorizing a designated person to provide care and make decisions for a child on behalf of the parent/guardian.
Affidavit Of Support And Consent To Travel
An Indonesian legal document combining travel consent and financial support declaration, required under Indonesian Immigration Law for authorized travel and financial sponsorship.
Affidavit Of Consent To Travel
An Indonesian legal document providing parental authorization for a minor's travel, complying with national immigration laws and regulations.
Affidavit Of Authorization
An Indonesian legal document providing sworn authorization from one party to another, executed before a notary public and complying with Indonesian civil law requirements.
Vendor ACH Form
An Indonesian-compliant form for setting up automated electronic payments between companies and their vendors through the banking system.
Vendor ACH Authorization Form
An Indonesian-compliant authorization form for setting up automated clearing house (ACH) payments between a company and its vendor.
Third Party Credit Card Authorization Form
An Indonesian-law compliant form authorizing a third party to use the card holder's credit card under specified conditions and time periods.
Third Party Authorization Form
An Indonesian law-compliant document that formally authorizes a third party to act on behalf of an individual or organization, subject to specified terms and conditions.
Tenant Release And Consent Form
An Indonesian law-compliant document that formalizes the release of a tenant from lease obligations and obtains necessary consents for termination-related matters.
Permission Letter For Medical Treatment
An Indonesian law-compliant authorization document granting healthcare providers permission to perform specified medical procedures on a patient.
Payroll Deduction Form
An Indonesian-compliant form authorizing specific deductions from employee salaries, ensuring legal compliance with Indonesian labor laws while protecting both employer and employee interests.
Payroll Deduction Authorization Form
An Indonesian law-compliant authorization form for employee payroll deductions, meeting requirements under Law No. 13 of 2003 on Manpower.
Simple Release Of Information Form
An Indonesian-compliant legal document authorizing the controlled release of personal information between specified parties, aligned with UU PDP requirements.
Simple Authorization Letter
An Indonesian law-compliant document that formally delegates specific powers from an authorizer to an authorized representative, creating a legally binding authorization relationship.
Signature Authorization Form
An Indonesian law-compliant document that formally delegates signing authority from one party to another, establishing the scope and limitations of such authorization.
Return Merchandise Authorization Form
An Indonesian-compliant form for authorizing and processing product returns, meeting requirements under Law No. 8 of 1999 on Consumer Protection.
Return Authorization Form
An Indonesian-compliant document that formally authorizes and tracks product returns between customers and merchants, adhering to local consumer protection laws.
Payroll Authorization Form
An Indonesian law-compliant form authorizing employers to process employee salary payments and statutory deductions through specified payment methods.
Payment Authorization Form
An Indonesian-law governed form authorizing banks or financial institutions to process specified payment transactions, compliant with Bank Indonesia regulations.
Release Of Information Form
An Indonesian-compliant form authorizing the release of personal information between parties, aligned with the PDP Law and related regulations.
Release Of Authorization Form
An Indonesian legal document that formally terminates previously granted authorizations or powers, compliant with Indonesian Civil Code and data protection laws.
Proxy Letter For Authorization
An Indonesian law-governed document that delegates specific powers from a grantor to an appointed representative to act on their behalf.
Parental Consent Affidavit Form
An Indonesian law-compliant affidavit document providing formal parental authorization for activities or decisions regarding a minor child.
Parent Consent Letter For Passport
An Indonesian legal document providing parental authorization for a minor's passport application, complying with national immigration laws.
Parent Authorization Letter For Guardian
An Indonesian legal document authorizing a designated guardian to act on behalf of parents in matters concerning their child's care and welfare.
Pre Authorized Payment Form
An Indonesian-compliant authorization form for establishing recurring automatic payments from a designated bank account, governed by Bank Indonesia regulations.
Pre Authorized Debit Form
An Indonesian banking form that authorizes regular automatic payments from a customer's account, compliant with Bank Indonesia regulations.
Owner Authorization Letter
An Indonesian legal document granting specific authority from an owner to another party to act on their behalf, governed by Indonesian Civil Code and power of attorney regulations.
Owner Authorization Form
An Indonesian legal document that grants specific authority from a property owner to another party, governed by Indonesian Civil Code and property regulations.
Overtime Authorization Form
An Indonesian-compliant form for authorizing and documenting overtime work, ensuring adherence to local labor laws and regulations.
Download our whitepaper on the future of AI in Legal
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
Our bank-grade security infrastructure undergoes regular external audits
We are ISO27001 certified, so your data is secure
Organizational security
You retain IP ownership of your documents
You have full control over your data and who gets to see it
Innovation in privacy:
Genie partnered with the Computational Privacy Department at Imperial College London
Together, we ran a £1 million research project on privacy and anonymity in legal contracts
Want to know more?
Visit our Trust Centre for more details and real-time security updates.
Read our Privacy Policy.