Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

DATA PRIVACY ACT CONSENT FORM

We, the officers /directors / committee members of


IARFA STUDENT COUNCIL
___________________________________, hereby authorize FEU Student Development to
collect and process the data provided for in the [ ] Directory of Officers [ ] Directory
of Committee which is one of the requirements for the recognition/accreditation of
student organizations.

We understand that the personal data obtained from us will only be accessed by
SDev and SDev-authorized personnel, and are protected by RA 10173, Data Privacy
Act of 2012.

CASTRO, JUAN FERNANDO C. CASTRO, JUAN FERNANDO C.


________________________ ________________________
Signature over Printed Name Signature over Printed Name

CASTRO, JUAN FERNANDO C.


________________________ CASTRO, JUAN FERNANDO C.
________________________
Signature over Printed Name Signature over Printed Name

CASTRO, JUAN FERNANDO C.


________________________ CASTRO, JUAN FERNANDO C.
________________________
Signature over Printed Name Signature over Printed Name

SEPTEMBER 16, 2021


Date: __________________________

You might also like