Consent Declaration Form

Consent Declaration Form Template for Singapore

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Key Requirements PROMPT example:

"I need a Consent Declaration Form for my Singapore-based medical clinic that specifically covers collection of patient health data and sharing with affiliated specialists, to be implemented by March 2025."

Document background

The Consent Declaration Form is a crucial document required under Singapore's Personal Data Protection Act 2012 for organizations collecting personal data. This document is essential when obtaining explicit consent from individuals before collecting, using, or disclosing their personal data. It must clearly state the purpose of data collection, specify data types being collected, outline individual rights, and include withdrawal procedures. The form helps organizations demonstrate compliance with PDPA requirements and provides individuals with transparency about how their data will be handled.

Suggested Sections

1. Declaration Header: Individual's details including name, ID number, and date of declaration

2. Purpose of Data Collection: Clear and specific explanation of why personal data is being collected and how it will be used

3. Types of Personal Data: Comprehensive list of personal data being collected (e.g., name, contact details, identification numbers)

4. Consent Statement: Express declaration of consent with clear and unambiguous language

5. Rights Declaration: Statement outlining individual's rights under PDPA including access, correction, and withdrawal rights

6. Signature Block: Space for individual's signature, name, date, and witness details if required

Optional Sections

1. Third Party Disclosure: Details of third parties with whom data may be shared, including purpose and scope of sharing

2. Marketing Communications: Specific consent clause for marketing purposes and communication preferences

3. International Transfer: Details regarding overseas transfer of data including recipient countries and protection measures

4. Special Categories of Data: Additional consent requirements for sensitive personal data such as health information or biometric data

Suggested Schedules

1. Schedule A - Data Processing Details: Detailed list of specific data processing activities and purposes

2. Schedule B - Privacy Policy Reference: Reference to organization's privacy policy and data protection practices

3. Schedule C - Contact Information: Contact details for Data Protection Officer and procedures for consent withdrawal

4. Schedule D - Third Party Recipients: List of third party organizations who may receive the personal data

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 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

Relevant Industries

Healthcare
Financial Services
Education
Retail
Technology

Relevant Teams

Legal
Compliance
Human Resources
Data Privacy
Customer Service

Relevant Roles

Data Protection Officer
Compliance Manager
Privacy Officer
Legal Counsel
HR Manager

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Let's create your Consent Declaration Form

Authors

Alex Denne

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