Scribd
Upload
44 views

Transaction Form For Enrollment: Consent

The document is a transaction form from the University of Southeastern Philippines (USeP) for enrollment that collects personal information such as name, student ID, program, and contact details from the student pursuant to USeP's data privacy policy and the Data Privacy Act of 2012. The personal information will only be used for enrollment purposes and retained as long as necessary for fulfillment of that purpose, and will be kept confidential with access only given to authorized personnel. Students must agree to the collection and processing of their personal data by selecting the agreement option, with the option to not agree also provided. Contact information is given for the University Data Privacy Officer regarding any data privacy policy or law inquiries.

Uploaded by

Christian M. Calinaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
44 views

Transaction Form For Enrollment: Consent

The document is a transaction form from the University of Southeastern Philippines (USeP) for enrollment that collects personal information such as name, student ID, program, and contact details from the student pursuant to USeP's data privacy policy and the Data Privacy Act of 2012. The personal information will only be used for enrollment purposes and retained as long as necessary for fulfillment of that purpose, and will be kept confidential with access only given to authorized personnel. Students must agree to the collection and processing of their personal data by selecting the agreement option, with the option to not agree also provided. Contact information is given for the University Data Privacy Officer regarding any data privacy policy or law inquiries.

Uploaded by

Christian M. Calinaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

University of Southeastern Philippines

Transaction Form for Enrollment

Date: January 19, 2021

Pursuant to the University of Southeastern Philippines (USeP) data privacy policy and the Data
Privacy Act of 2012, we will collect and process the following personal information from you
when you manually or electronically fill in this form:

ID No. :2016-00004
Last name :CALINAYA
First name :CHRISTIAN
Middle name :MOCA
Program/Course :BS MECHANICAL ENGINEERING
Year level :5th
Contact No. :09387671347

Provide details of information you are needing in the box provided below.

USE: The collected personal information will be utilized solely for enrolment purposes.

PROTECTION MEASURE: These personal information shall be held in utmost confidentiality


and shall not be transferred or divulged to other persons or entity without your express consent.
Only authorized personnel has access to this personal information. The University will only
retain the collected personal data as long as necessary for the fulfilment of the purpose.

CONSENT

 I AGREE to the collection and processing of my personal information.


 I DO NOT AGREE with the collection and processing of my personal information.

INFORMATION

For queries pertaining to the University Data Privacy Policy and with the Data Privacy Act of 2012,
you may contact the University Data Privacy Officer ASST. PROF. KARLO MARTIN C.
CARAMUGAN through his email [email protected].

WE BUILD DREAMS WITHOUT LIMITS


Address: University of Southeastern Philippines Telephone: (082) 227-8192 local 293
Iñigo St., Bo. Obrero, Davao City Website: www.usep.edu.ph
Philippines 8000 E-mail: [email protected]

You might also like