Student Acknowledgement Form Template for Indonesia

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Key Requirements PROMPT example:

Student Acknowledgement Form

"I need a Student Acknowledgement Form for an international private university in Jakarta, with specific clauses for online learning components and data protection requirements for international students starting in the September 2025 semester."

Document background
The Student Acknowledgement Form is a crucial document used across Indonesian educational institutions to establish clear understanding and agreement between the institution and its students. This document is typically required during the enrollment or registration process, serving as a formal record that students (and their guardians, where applicable) have been informed of and agree to institutional policies, procedures, and requirements. The form addresses various aspects including academic policies, financial obligations, data protection requirements under Indonesian law, and student code of conduct. It ensures compliance with key Indonesian legislation including the National Education System Law and Personal Data Protection Law, while protecting both the institution's and students' interests. The document is particularly important in establishing clear expectations and preventing future disputes by documenting informed consent to institutional terms and conditions.
Suggested Sections

1. Parties: Details of the educational institution and the student (and guardian if the student is a minor)

2. Background: Brief context about the purpose of the acknowledgement form and its importance

3. Definitions: Clear explanations of key terms used throughout the document

4. Student Information: Section for student's personal details, registration number, and program of study

5. Acknowledgements: Core statements that the student is acknowledging, including understanding of academic policies, codes of conduct, and institutional rules

6. Rights and Responsibilities: Outline of both student's and institution's rights and responsibilities

7. Financial Obligations: Acknowledgement of understanding regarding fees, payment schedules, and financial policies

8. Data Privacy Consent: Consent for collection and processing of personal data as per Indonesian Personal Data Protection Law

9. Declaration: Student's declaration of having read, understood, and agreed to all terms

10. Execution: Signature section for student, guardian (if applicable), and institution representative

Optional Sections

1. Medical Information Consent: Optional section for consent to collect and process medical information, required if institution provides health services or needs medical information

2. Photography and Media Release: Optional consent for use of student's images and recordings, needed if institution plans to use student images for promotional materials

3. Special Needs Declaration: Optional section for students to declare any special needs or accommodations required

4. International Student Provisions: Additional acknowledgements specific to international students, including visa obligations

5. Online Learning Consent: Specific acknowledgements regarding online learning platforms and tools, needed if institution offers online courses

6. Scholarship Terms: Additional acknowledgements for scholarship recipients, if applicable

Suggested Schedules

1. Schedule A - Academic Policies: Summary of key academic policies and procedures referenced in the main document

2. Schedule B - Fee Schedule: Detailed breakdown of all applicable fees and payment terms

3. Schedule C - Code of Conduct: Summary of student code of conduct and disciplinary procedures

4. Appendix 1 - Required Documents: List of additional documents that need to be submitted with the form

5. Appendix 2 - Emergency Contact Form: Form for providing emergency contact information

6. Appendix 3 - Program-Specific Requirements: Any specific requirements or acknowledgements related to the student's chosen program

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 legal definitions
Clauses
Relevant Industries

Higher Education

Secondary Education

Vocational Education

Professional Training

International Education

Distance Learning

Special Education

Private Education

Public Education

Relevant Teams

Admissions

Student Affairs

Legal

Academic Administration

Compliance

Student Services

International Office

Registration

Administrative Support

Data Protection

Relevant Roles

Registrar

Admissions Officer

Academic Administrator

Student Affairs Manager

Compliance Officer

Legal Counsel

Education Program Coordinator

Enrollment Manager

School Principal

University Dean

Administrative Secretary

Data Protection Officer

Student Services Coordinator

International Student Advisor

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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