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Payment Consent Form
1. Payment Service Provider Details: Information about the payment service provider, including legal name, registration number, and contact details
2. Payer Information: Details of the individual or entity providing payment consent, including necessary identification information
3. Payment Authorization: Specific consent for the payment arrangement, including amount, currency, and payment method
4. Data Processing Consent: GDPR-compliant consent for processing personal and payment data, including purpose and duration
5. Withdrawal Rights: Information about the right to withdraw consent and the process for doing so
6. Declaration and Signature: Final declaration of understanding and agreement, with space for date and signature
1. Recurring Payment Terms: Additional terms for recurring payment arrangements, including frequency and duration. Include when consent is for recurring rather than one-time payments
2. Third Party Authorization: Authorization for third-party payment initiation services. Include when using PSD2 payment initiation services
3. International Payment Terms: Additional terms for international payments, including currency conversion. Include for cross-border payment arrangements
4. Specific Payment Method Terms: Terms specific to particular payment methods (e.g., direct debit, credit card). Include based on the payment method being used
5. Corporate Authorization: Additional authorization requirements for corporate entities. Include when the payer is a company rather than an individual
1. Schedule 1: Detailed Payment Terms: Detailed breakdown of payment amounts, dates, and arrangements
2. Schedule 2: Data Processing Details: Detailed information about personal data processing, including categories of data, recipients, and retention periods
3. Schedule 3: Payment Service Provider Terms: Standard terms and conditions of the payment service provider
4. Appendix A: Required Documentation: List of required identification or verification documents to be attached to the consent form
Authors
Authentication
Authorization
Business Day
Consent
Data Controller
Data Processing
Data Subject
Due Date
Electronic Signature
Finanstilsynet
GDPR
Payment Account
Payment Initiation Service
Payment Initiation Service Provider (PISP)
Payment Instrument
Payment Order
Payment Service Provider (PSP)
Payment Services
Payment Transaction
Personal Data
PSD2
Recurring Payment
Reference Number
Strong Customer Authentication
Third Party Provider
Transaction Amount
Withdrawal Notice
Data Protection
Consent
Withdrawal Rights
Processing Terms
Service Provider Details
Authentication
Payment Terms
Data Subject Rights
Information Security
Liability
Amendments
Termination
Governing Law
Personal Data Processing
Documentation Requirements
Third Party Authorization
Dispute Resolution
Notices
Force Majeure
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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
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Visit our Trust Centre for more details and real-time security updates.
Read our Privacy Policy.