Personal Information Consent Form Template for Singapore

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Key Requirements PROMPT example:

Personal Information Consent Form

"I need a Personal Information Consent Form for my Singapore-based healthcare clinic that specifically covers the collection of medical history and treatment data, with extra provisions for sharing information with specialist referral partners in Malaysia."

Document background

The Personal Information Consent Form is a crucial document required under Singapore's Personal Data Protection Act 2012 (PDPA) for organizations collecting personal data. This document serves as evidence of explicit consent from individuals for the collection, use, and disclosure of their personal data. It should be used whenever an organization intends to collect personal information from individuals in Singapore. The form must clearly state the purpose of collection, types of data being collected, intended uses, and the individual's rights under the PDPA. It's particularly important in ensuring compliance with Singapore's strict data protection regulations and protecting both the organization and the individual's interests.

Suggested Sections

1. Introduction: Identifies the organization collecting data and the individual providing consent

2. Purpose of Collection: Clear statement of specific purposes for which personal data is being collected

3. Types of Personal Data: Detailed list of personal data being collected

4. Use and Storage: How the personal data will be used, stored, and protected

5. Individual's Rights: Statement of rights under PDPA including access, correction, and withdrawal of consent

6. Declaration and Signature: Formal consent statement and signature block

Optional Sections

1. Third Party Disclosure: Details of third parties who may receive the data, used when data sharing is anticipated

2. International Transfer: Information about cross-border data transfers, required when data will be transferred overseas

3. Marketing Communications: Specific consent for marketing purposes, included when data will be used for marketing

4. Sector-Specific Provisions: Additional provisions for healthcare, banking, or other regulated sectors

Suggested Schedules

1. Schedule 1: Detailed Data Categories: Comprehensive list of all data types being collected

2. Schedule 2: Third Party Recipients: List of authorized third-party data recipients

3. Appendix A: Privacy Policy: Organization's full privacy policy

4. Appendix B: Withdrawal Procedures: Detailed procedures for withdrawing consent

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

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Data Protection Officer
Privacy Manager
Compliance Officer
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Let's create your Personal Information Consent Form

Authors

Alex Denne

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