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1. Employee/Party Information: Details of the individual or entity acknowledging compliance, including full name, position, employee ID, and department
2. Purpose Statement: Brief explanation of the form's purpose and its importance in maintaining compliance
3. Compliance Obligations: List of specific policies, procedures, and regulations being acknowledged
4. Acknowledgment Declaration: Explicit statement of understanding and agreement to comply with all listed obligations
5. Non-Compliance Consequences: Clear outline of potential consequences for failing to comply with the acknowledged obligations
6. Reporting Mechanisms: Information about how to report compliance concerns or violations
7. Signature Block: Space for signature, date, and witness information as required by Indonesian law
1. Industry-Specific Compliance: Additional acknowledgments specific to regulated industries (e.g., financial services, healthcare)
2. Data Privacy Consent: Specific acknowledgment of data protection obligations when the role involves handling personal data
3. Confidentiality Provisions: Additional confidentiality acknowledgments for roles with access to sensitive information
4. Training Confirmation: Confirmation of completed compliance training, to be included when the form follows specific training sessions
5. Electronic Communications Consent: Consent to receive compliance updates and notifications electronically, when applicable
1. Schedule A - Referenced Policies: List of all company policies and procedures being acknowledged
2. Schedule B - Compliance Training Record: Record of completed compliance training programs and dates
3. Schedule C - Role-Specific Obligations: Detailed list of compliance obligations specific to the employee's role or position
4. Appendix 1 - Reporting Procedures: Detailed procedures for reporting compliance concerns or violations
5. Appendix 2 - Key Regulatory Requirements: Summary of relevant Indonesian laws and regulations applicable to the role
Financial Services
Manufacturing
Healthcare
Technology
Retail
Energy
Mining
Transportation
Telecommunications
Construction
Education
Professional Services
Pharmaceuticals
Agriculture
Food and Beverage
Legal
Compliance
Human Resources
Finance
Operations
Sales
Marketing
Information Technology
Research and Development
Quality Assurance
Risk Management
Internal Audit
Customer Service
Administration
Procurement
Production
Security
Chief Executive Officer
Chief Compliance Officer
Department Director
Manager
Supervisor
Staff Member
Internal Auditor
Risk Officer
Human Resources Manager
Legal Counsel
Financial Controller
Operations Director
Project Manager
Sales Representative
Administrative Assistant
Technical Specialist
Research and Development Officer
Quality Assurance Manager
Information Security Officer
External Consultant
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