Declaration of Consent

I hereby expressly consent to the DFG processing my name (if I disclose my identity) and the personal information voluntarily provided by me in submitting my report (reports of sexual harassment relating to the DFG's funding activities) to the extent required. Insofar as I provide such information, this also covers particularly sensitive information as defined in Article 9(1) GDPR concerning my person (e.g. information revealing racial or ethnic origin, political opinions, religious or philosophical beliefs or trade union membership, as well as health data or data concerning sexual life or sexual orientation). 

I have been expressly informed that, due to legal provisions, the disclosure of my identity or that of other individuals named by me in the report may be required under certain circumstances if the DFG initiates a formal inquiry. Insofar as the DFG is legally obliged to inform the accused person of the matter concerning them, it cannot be ruled out that the accused person may be able to draw conclusions as to the identity of the person submitting the report or other persons named in the report based on the information provided. As the person submitting the report, I have taken this circumstance into account when deciding whether to submit the report and when naming individuals.

I can withdraw this consent at any time with effect for the future. I can declare this withdrawal to Deutsche Forschungsgemeinschaft e.V., Equal Opportunities, Research Integrity and Cross-Programme Development, 53170 Bonn, e-mail: chancengleichheit@dfg.de. Data processing carried out based on this consent prior to me withdrawing it remains lawful. Further processing also remains unaffected by a withdrawal if it is permitted based on legal authorisation.

The Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) takes the protection of your personal data very seriously. Your data will be treated with a very high degree of confidentiality in the assessment of your report. Please refer to the DFG data protection notice in connection with reports of sexual harassment relating to the DFG's funding activities, which can be found at www.dfg.de/privacy_policy. By signing this declaration, you confirm that you acknowledge this data protection notice and consent to the processing of your data to the extent described below.

Place: __________________________________________ Date: _____________________

Name of signatory 
in block letters: __________________________________________________

Signatory’s signature: _______________________________________