ANNEX B

Version 1
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT Effectivity Date:
October 1, 2022
Public Employment Service Office
Manila, Philippines

Confidentiality and Non-Disclosure Agreement

[For the User of the PESO Employment Information System (PEIS)]

I, ______SALYN D. TAPALLA______, _________________________________,

an employee of _____VERITAS COLLEGE OF IROSIN______, solemnly swear that any
information (written, verbal, electronic, or other forms) obtained during the performance of my
duties as an authorized user of PEIS, together with the integrated systems (i.e. PhilJobNet,
JobStart, Job Fair, among others) shall remain confidential.

Further, I hereby affirm by my signature not to disclose any personal data extracted and
processed to a third party, either within or outside the Office, without permission from the Head
of the Office.

I am fully aware that any unauthorized release or negligence in the handling of personal
information is considered a breach of my duty to maintain confidentiality, which could serve as
grounds for immediate dismissal and/or possible personal liability, pursuant to Republic Act No.
10173 or the Data Privacy Act of 2012, or in any legal action arising from such breach.

Personnel Administering Pledge:

___SALYN D. TAPALLA____
Printed Name & Signature ________________________
Personnel Making Pledge PESO Manager

_November 7, 2022_ ____________

Date Signed Date Signed
Validated by: Noted by:

JAYSON K. MARBELLA MA. ZENAIDA A. ANGARA-CAMPITA

NSRP Coordinator DOLE Regional Director

____________ ____________
Date Signed Date Signed

Department of Labor and Employment

Regional Office No: V
Field Office: SORSOGON