Bukidnon Bulls, Tara Na!

A Capacity-Building Campaign on Mental Health for

SGCs/Designates, & School Nurses amidst the COVID-19 Pandemic
July 26, 2021 @ Manolo Fortich National High School, MF 1 District

ATTENDANCE SHEET

I understand that by signing below, DepEd-Bukidnon, is given reasonable permission to collect and use my personal data below to provide verifiable
evidence to funders (eg. DepEd), to report that the event had been conducted and that I participated, and to process payment of related expenses.
I terms, of agreeing to having your photo taken or including you in a video of the event, these will also be used as part of the event’s evidence and
report to funders. Only if needed (e.g. to identify you as a speaker) will your name, organization, and position title with your photo/video be published.
In turn, DepEd-Bukidnon, will keep my data safe through restricted staff use, secure storage for 5 years after the project and permanent
destruction thereafter.
In the event of a need to see/correct/update your data, lodge a complaint, or withdraw your consent, please contact Mr. Ronnel Jun T. Estiva at 09973141936
Do you agree to have your
First and Last Name Sex District School Position Title Mobile Number Signature photo/video taken within
(M or F) the context of this event?
1. 1 YES NO
2. 2 YES NO
3. 3 YES NO
4. 4 YES NO
5. 5 YES NO
6. 6 YES NO
7. 7 YES NO
8. 8 YES NO
9. 9 YES NO
10. 10 YES NO
11. 11 YES NO
12. 12 YES NO

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 I understand that by signing below, DepEd-Bukidnon, is given reasonable permission to collect and use my personal data below to provide verifiable
evidence to funders (eg. DepEd), to report that the event had been conducted and that I participated, and to process payment of related expenses.
I terms, of agreeing to having your photo taken or including you in a video of the event, these will also be used as part of the event’s evidence and
report to funders. Only if needed (e.g. to identify you as a speaker) will your name, organization, and position title with your photo/video be published.
In turn, DepEd-Bukidnon, will keep my data safe through restricted staff use, secure storage for 5 years after the project and permanent
destruction thereafter.
In the event of a need to see/correct/update your data, lodge a complaint, or withdraw your consent, please contact Ronnel Jun T. Estiva at 09973141936.
Do you agree to have your
First and Last Name Sex Section Office Position Title Mobile Number Signature photo/video taken within the
(M or F) context of this event?
13. 14 YES NO
14. 15 YES NO
15. 16 YES NO
16. 17 YES NO
17. 18 YES NO
18. 19 YES NO
29. 20 YES NO
20. 21 YES NO
21. 22 YES NO
22. 23 YES NO
23. 24 YES NO
24. 25 YES NO

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph