DATA PRIVACY CONSENT

ADMISSIONS & MARKETING OFFICE
Quezon City
ADMISSIONS RESERVATION FORM
I understand and agree that by filling out this form I am allowing the Technological Institute of
Manila the Philippines to collect, use, share and disclose my personal information for admission
purposes and to store it as long as necessary for the fulfillment of the stated purpose and in
accordance with applicable laws, including the Data Privacy Act of 2012 and its implementing
Rules and Regulations, and the T.I.P. Privacy Policy. The purpose and extent of collection,
use, sharing, disclosure, and storage of my personal information was explained to me.

Date: Reference No. SY: 2021-2022

Level: Grade 11 Strand: Freshmen Program:

Name:
Surname First name Middle Name

Preferred Schedule: MORNING  AFTERNOON O.R. Number:

STIPULATIONS:
 The Php _______ RESERVATION FEE IS NON-FUNDABLE and NON-TRANSFERABLE. It is deductible
from the TOTAL FEES to be paid by the student when he/she finally enrolls in the T.I.P.
Student’s Signature over Printed Name
 The reservation fee will ensure a slot in the preferred SCHEDULE identified by the applicant.
Contact no:_____________
 This reservation will be valid until JUNE 30, 2021 only. Beyond this date your reservation may not be valid
anymore. TIP-AMO-10
Revision Status/Date: 0/2018 DEC 12

DATA PRIVACY CONSENT

ADMISSIONS & MARKETING OFFICE
Quezon City
ADMISSIONS RESERVATION FORM
I understand and agree that by filling out this form I am allowing the Technological Institute of
Manila the Philippines to collect, use, share and disclose my personal information for admission
purposes and to store it as long as necessary for the fulfillment of the stated purpose and in
accordance with applicable laws, including the Data Privacy Act of 2012 and its implementing
Rules and Regulations, and the T.I.P. Privacy Policy. The purpose and extent of collection,
use, sharing, disclosure, and storage of my personal information was explained to me.

Date: Reference No. SY: 2021-2022

Level: Grade 11 Strand: Freshmen Program:

Name:
Surname First name Middle Name

Preferred Schedule: MORNING  AFTERNOON O.R. Number:

STIPULATIONS:
 The Php _______ RESERVATION FEE IS NON-FUNDABLE and NON-TRANSFERABLE. It is deductible
from the TOTAL FEES to be paid by the student when he/she finally enrolls in the T.I.P.
Student’s Signature over Printed Name
 The reservation fee will ensure a slot in the preferred SCHEDULE identified by the applicant.
Contact no:_____________
 This reservation will be valid until JUNE 30, 2021 only. Beyond this date your reservation may not be valid
anymore. TIP-AMO-10
Revision Status/Date: 0/2018 DEC 12