Volunteer Consent to Collect, Store, Use, and Disclose Personal Information
By acknowledging and submitting this volunteer form, I freely and voluntarily give my consent to the organization and its authorized representatives to collect, store, use, and disclose my personal information for the purposes of screening, selection, participation, administration, and monitoring related to the clinical trial or program for which I am registering.
I understand that:
My personal information includes, but is not limited to, my full name, contact details, date of birth, gender, health and medical information, government-issued identification numbers, and other relevant details necessary for evaluation and communication purposes.
The information collected will be stored securely and accessed only by authorized personnel who require it for legitimate operational, legal, or scientific purposes.
My information may be disclosed to partnering institutions, regulatory agencies, or third-party service providers, only as necessary to fulfill the stated purposes, and with appropriate safeguards in place to protect my privacy.
I have the right to access and request correction of my personal data, and may withdraw my consent at any time by notifying the organization in writing. I understand that doing so may affect my eligibility to participate in the program or trial.
My data will not be sold or used for marketing without my explicit, separate consent.
This consent remains valid unless and until I revoke it in writing.