Data Privacy Consent Form Template for Indonesia

This document serves as a comprehensive Data Privacy Consent Form compliant with Indonesia's Personal Data Protection Law (UU PDP) and related regulations. It enables organizations to obtain explicit, informed consent from individuals for the collection, processing, storage, and potential transfer of their personal data. The form includes mandatory disclosures about data processing activities, security measures, retention periods, and data subject rights as required under Indonesian law. It is designed to meet the stringent requirements of UU PDP while remaining clear and accessible to data subjects, incorporating all necessary elements for valid consent under Indonesian data protection regulations.

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What is a Data Privacy Consent Form?

The Data Privacy Consent Form is a crucial document required under Indonesia's Personal Data Protection Law (UU PDP) for organizations collecting and processing personal data. This document should be used whenever an organization needs to obtain explicit consent from individuals before collecting their personal data. The form must be implemented in compliance with UU PDP and related regulations, including Government Regulation No. 71 of 2019 and Minister of Communication and Information Technology Regulation No. 20 of 2016. It contains essential information about data processing activities, individual rights, and privacy protections, serving as both a legal requirement and a trust-building tool with data subjects. The document should be updated regularly to reflect changes in data processing activities or regulatory requirements.

What sections should be included in a Data Privacy Consent Form?

1. Identity of Parties: Identification of the Data Controller (company/organization) and the Data Subject (individual providing consent), including complete contact details

2. Purpose and Legal Basis: Clear explanation of the specific purposes for which personal data will be processed and the legal basis for processing

3. Types of Personal Data: Detailed list of personal data categories that will be collected and processed

4. Processing Activities: Description of how the personal data will be collected, used, stored, and potentially transferred

5. Data Subject Rights: Comprehensive list of rights under UU PDP, including right to access, correction, deletion, and withdrawal of consent

6. Data Retention Period: Clear statement of how long the personal data will be retained and criteria for determining retention period

7. Data Security Measures: Overview of technical and organizational measures implemented to protect personal data

8. Consent Declaration: Clear, unambiguous statement of consent with signature/acceptance mechanism

9. Contact Information: Details for contacting the data protection officer or relevant department for privacy concerns

What sections are optional to include in a Data Privacy Consent Form?

1. International Data Transfers: Required when personal data may be transferred outside Indonesia, detailing the countries involved and safeguards in place

2. Automated Decision Making: Required when automated processing, including profiling, is used to make decisions about the data subject

3. Special Categories of Data: Required when processing sensitive personal data such as health information, religious beliefs, or biometric data

4. Third Party Sharing: Required when personal data will be shared with third parties, listing recipients or categories of recipients

5. Marketing Communications: Required when personal data will be used for marketing purposes, with specific consent options for different channels

What schedules should be included in a Data Privacy Consent Form?

1. Schedule A - Detailed Data Categories: Comprehensive list of all personal data categories and specific data elements to be collected

2. Schedule B - Third Party Recipients: List of specific third parties or categories of third parties with whom data may be shared

3. Schedule C - Technical Security Measures: Detailed description of security measures implemented to protect personal data

4. Appendix 1 - Data Subject Rights Guide: Detailed explanation of how data subjects can exercise their rights under UU PDP

5. Appendix 2 - Privacy Policy Reference: Full privacy policy or link to online privacy policy with additional details about data processing practices

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Alex Denne

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

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Download a Standard Data Privacy Consent Form

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What is a Data Privacy Consent Form?

What sections should be included in a Data Privacy Consent Form?

What sections are optional to include in a Data Privacy Consent Form?

What schedules should be included in a Data Privacy Consent Form?

Authors

Alex Denne

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