Consent Personal Information Form Template for Singapore

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Key Requirements PROMPT example:

Consent Personal Information Form

"I need a Consent Personal Information Form for my Singapore-based healthcare clinic that specifically covers collection of medical data and sharing with insurance providers, with additional provisions for telemedicine consultations starting January 2025."

Document background

The Consent Personal Information Form is a crucial document required under Singapore's Personal Data Protection Act 2012 (PDPA). Organizations must obtain explicit consent before collecting, using, or disclosing personal data, making this form essential for PDPA compliance. The form should clearly state the purpose of data collection, specify how the data will be used, and inform individuals of their rights regarding their personal data. This document is particularly important in the context of Singapore's strict data protection regime and should be regularly reviewed to ensure ongoing compliance with PDPA requirements.

Suggested Sections

1. Individual's Information: Basic details of the person providing consent including name, identification number, contact information

2. Organization Information: Details of the organization collecting the data including company name, registration number, contact details

3. Purpose Statement: Clear explanation of why personal data is being collected and how it will be used, in compliance with PDPA requirements

4. Types of Personal Data: Specific categories of personal data being collected, with detailed descriptions of each category

5. Consent Declaration: Express statement of consent and acknowledgment, including confirmation that the individual has read and understood the form

Optional Sections

1. International Transfer Notice: Details of potential cross-border data transfers and associated safeguards, required when personal data may be transferred outside Singapore

2. Marketing Consent: Specific consent section for marketing communications and promotional materials, with clear opt-in/opt-out options

3. Third Party Disclosure: Information about third parties who may receive the personal data, including purposes of disclosure and safeguards in place

Suggested Schedules

1. Data Categories Schedule: Detailed list of all personal data categories to be collected, including mandatory and optional data fields

2. Processing Activities Schedule: Comprehensive list of how the personal data will be processed, including specific purposes and processing methods

3. Third Party Recipients List: List of all third parties who may receive the personal data, including their roles and responsibilities in data protection

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

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Healthcare
Financial Services
Education
Retail
Technology

Relevant Teams

Legal
Compliance
Human Resources
Information Technology
Data Protection

Relevant Roles

Data Protection Officer
Privacy Manager
Compliance Officer
HR Manager
IT Director

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Let's create your Consent Personal Information Form

Authors

Alex Denne

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