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1. Header and Date: Document title, date of execution, and reference number if applicable
2. Authorizing Party Details: Full name, identification number, contact details, and address of the person giving authorization
3. Recipient Organization Details: Name, registration number, and address of the organization authorized to receive the information
4. Purpose Statement: Clear statement of the specific purpose(s) for which the information is being released
5. Information Description: Detailed description of the personal information authorized for release
6. Duration of Authorization: Specific period for which the authorization remains valid
7. Data Protection Notice: Statement acknowledging PDPA 2010 compliance and data protection measures
8. Consent Declaration: Express statement of consent and confirmation of understanding
9. Execution: Signature block with date and witness provisions
1. Third Party Recipients: Section listing additional authorized recipients if information may be shared beyond the primary recipient
2. Revocation Clause: Terms and process for revoking the authorization before its expiration
3. Medical Information Release: Specific provisions required when releasing medical information
4. Financial Information Release: Additional provisions required for releasing financial records
5. International Transfer: Special provisions if personal data will be transferred outside Malaysia
6. Emergency Contacts: Contact information for emergencies or urgent matters related to the information release
1. Schedule A - Types of Information: Detailed list of specific personal information categories authorized for release
2. Schedule B - Authorized Recipients: Complete list of authorized recipients and their contact details if multiple parties are involved
3. Schedule C - Processing Purposes: Detailed description of all purposes for which the information may be processed
4. Appendix 1 - Identity Verification: Copies of identification documents of the authorizing party
5. Appendix 2 - Special Instructions: Any specific handling instructions or restrictions for the released information
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Financial Services
Education
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Real Estate
Banking
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Government Services
Professional Services
Retail
Technology
Transportation
Legal
Compliance
Human Resources
Information Security
Risk Management
Data Protection
Operations
Customer Service
Administrative Services
Records Management
Regulatory Affairs
Data Protection Officer
Compliance Manager
HR Manager
Legal Counsel
Privacy Officer
Risk Manager
Information Security Manager
Records Administrator
Recruitment Specialist
Healthcare Administrator
Financial Services Officer
School Administrator
Operations Manager
Customer Service Manager
Corporate Secretary
Regulatory Affairs Specialist
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