The Consent Form To Share Personal Information Template UK is provided in multiple formats, including PDF, Word, and Google Docs, and comes with customizable and printable samples.
Consent Form To Share Personal Information Template UK Editable – PrintableSample
Consent Form To Share Personal Information Template UK 1. Client Information 2. Organization Information 3. Purpose of Sharing Personal Information 4. Type of Personal Information to Be Shared 5. Duration of Consent 6. Disclosure to Third Parties 7. Right to Withdraw Consent 8. Data Protection and Confidentiality 9. Acknowledgment and Agreement 10. Declaration and Signatures
PDF
WORD
Examples
[Name of the Individual]
[Individual’s ID]
[Individual’s Address]
[Individual’s Phone]
[Individual’s Email]
[Name of the Organization]
[Organization’s ID]
[Organization’s Address]
[Organization’s Phone]
[Organization’s Email]
This consent form is intended to obtain permission from the individual to share personal information with [Name of the Organization] for the purpose of [Specify Purpose, e.g., healthcare services, financial assessment].
The individual consents to share the following personal information: [Provide details of the types of information, e.g., medical history, financial information, contact details].
The personal information provided shall be used solely for the following purpose(s): [Specify the intended use of the information, e.g., to provide services, or to conduct research].
This consent will remain in effect until [Specify duration, e.g., revoked in writing, or for one year from the date signed].
The individual has the right to withdraw this consent at any time by providing written notice to [Name of the Organization]. The individual also has the right to request access to their personal information or request corrections.
The Organization agrees to keep the individual’s personal information confidential and will comply with all relevant data protection laws, including the GDPR.
[Signature of the Individual]
[Name of the Individual]
[Signature of the Representative]
[Name of the Representative, Title]
[Name of the Individual]
[Individual’s ID]
[Individual’s Address]
[Individual’s Phone]
[Individual’s Email]
[Name of the Organization]
[Organization’s ID]
[Organization’s Address]
[Organization’s Phone]
[Organization’s Email]
This document serves as a consent form that grants [Name of the Organization] permission to collect and share personal information for [Specify Purpose, e.g., research, service provision].
The individual agrees to share the following information: [List specific information, e.g., employment history, health records, personal identification details].
The data shared will be utilized for [Detail the exact purposes for which the information will be used, e.g., assessment, marketing, or compliance requirements].
This consent shall remain effective until [Indicate whether it is open-ended or until a specific event occurs, e.g., termination of service or date].
The individual retains the right to withdraw consent at any time, we will provide clarity on how to do so via [Explain the process, e.g., email, written request].
The Organization commits to handling all personal data in accordance with applicable data protection laws and assures the individual that it will not share their data with third parties without further consent.
[Signature of the Individual]
[Name of the Individual]
[Signature of the Representative]
[Name of the Representative, Title]
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