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DATA PRIVACY CONSENT FORM - NSA Final - v2-1

This document is a data privacy consent form for applicants to the NSA Philippine Cadet Program. It outlines 6 points agreeing to: 1) Allow collection of personal documents and information for application and monitoring purposes, 2) Understanding information will be accessed by program and school personnel, 3) Acknowledging personal information may be posted online, 4) Understanding documents will be securely stored, 5) Holding the program harmless from privacy complaints, and 6) Reserving the right to cancel consent and have information no longer used. It also provides contact for the Data Privacy Officer regarding any privacy issues. Applicants must check if they are over or under 18 and sign to provide consent.

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1K views

DATA PRIVACY CONSENT FORM - NSA Final - v2-1

This document is a data privacy consent form for applicants to the NSA Philippine Cadet Program. It outlines 6 points agreeing to: 1) Allow collection of personal documents and information for application and monitoring purposes, 2) Understanding information will be accessed by program and school personnel, 3) Acknowledging personal information may be posted online, 4) Understanding documents will be securely stored, 5) Holding the program harmless from privacy complaints, and 6) Reserving the right to cancel consent and have information no longer used. It also provides contact for the Data Privacy Officer regarding any privacy issues. Applicants must check if they are over or under 18 and sign to provide consent.

Uploaded by

I Love You 3000
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NSA Cadet Program

DATA PRIVACY CONSENT FORM


NSA PROGRAM

Pursuant to the mandate of the National Privacy Commission to administer and implement the provisions of Republic Act
No. 10173 or Data Privacy Act of 2012, by signing below it signifies that I/we have read, understood all the provisions and
agreed with its full implementation.

1. I/We understand that by applying in NSA Philippine Cadet Program I/we give permission to collect pertinent
original copy of documents, use and further process information on personal circumstances and directory
information such as but not limited to address, phone number, e-mail address, family data, academic
information, medical record and other significant data.
2. I/We am/are aware that the personal information gathered will be accessed and used by NSA Program personnel
for monitoring, by principal/manning company and school that are involved in the application for admission as
well as during the period of my scholarship to the program.
3. I/We am/are apprehensive that posting of personally identifiable information on a website might likely to
happen for campaign, promotions and updates.
4. I/We understand that the submitted copy of documents will be stored in a secured place base on retention
period and proper disposal will be applied.
5. I/We also acknowledge and warrant that I/we have acquired the consent from all parties relevant to this consent
and hold free and harmless and indemnify NSA Program from any complaint, suit or damages which any party
may file or claim in relation to my consent.
6. I/We are informed that letter of cancellation will be submitted to NSA Program should we rescind to this
agreement and rescission will take effect upon receipt of the request of cancellation.
7. Retain any of my information until such time that I submit to NSA Cadet Program a written cancellation of this
consent. I reserve my right that all personal information will no longer be used in any business transactions after
a written cancellation of this consent.

Should any of the personal information data is mishandled/mismanaged in terms of confidentiality without consent, I/we
may seek assistance with the Data Privacy Officer (DPO), [email protected]/ +632-8799-6830 loc.140.

Please check the appropriate statement:

[ ] Applicant who is 18 or over 18 years of age ( Note: No need of parent’s consent)

[ ] Applicant who is a minor(below 18 years old)

Signed this ___ day of ________________20___ at __________________________ City.

Signature over Printed name/ Date Printed Name of Parents/Guardian/ Date


NSA Cadet

SY 2021
Batch Number / School Signature over Printed name/ Date
NSA Training and Development Officer

NOTE: Kindly submit this Data Privacy Consent Form together with the Accomplished Application Form and
other requirements.

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