The Consent To Disclose Form is a crucial document used in Malaysia when organizations need to obtain explicit permission to share an individual's or entity's personal information with third parties. This document is essential for compliance with the Personal Data Protection Act 2010 and related Malaysian privacy regulations. It is typically used when businesses need to share customer information with service providers, when financial institutions need to disclose client information to regulatory authorities, or when healthcare providers need to share patient information with other medical professionals. The form must clearly specify what information will be shared, with whom, for what purpose, and for how long. It should also include provisions for consent withdrawal and detail the rights of the data subject under Malaysian law.

1. Title and Date: Clear identification of the document as a Consent to Disclose Form and the date of execution

2. Parties: Details of the individual/entity giving consent (Data Subject) and the organization requesting consent (Data User)

3. Background: Brief context explaining why the consent is being sought and the relationship between parties

4. Definitions: Key terms used in the document, including 'Personal Data', 'Sensitive Personal Data', 'Processing', 'Disclosure' as defined in the Personal Data Protection Act 2010

5. Scope of Consent: Specific description of what information is authorized for disclosure

6. Purpose of Disclosure: Clear statement of the purpose(s) for which the information will be used

7. Duration of Consent: Period for which the consent remains valid

8. Rights of the Data Subject: Statement of rights including withdrawal of consent and access to personal data

9. Declaration: Confirmation that the consent is given freely and with understanding

10. Execution: Signature blocks for all parties, including witnesses if required