DLSU Consent Form

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Form No. UG-28.

Consent Form

I, Alyza Jozelle A. Carinan of legal age and is currently applying for entrance/admission/enrollment into De La Salle University Manila
am giving consent for DLSU to collect and process my personal data in relation to the purpose of
entrance/admission/enrollment to the university.

Ayza Jozelle A. Carinan


Signature Over Printed Name

December 11, 2023


Date Signed

2401 Taft Avenue, 922 Manila, Philippines | Direct Line: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph | www.dlsu.edu.ph/admissions

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