Republic of the Philippines Version i

DEPARTMENT OF LABOR AND EMPLOYMENT Eftectivity Date:

Public Employment Service Office October I, 2022
Manila, Philippines

Confidentiality and Non-Disclosure Agreement

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

I, IName of Emploveel , IPosition Title/Desiqnationl

an employee of lName of Officel 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 its 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 Oflice, without permission from the Headof
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
ground for immediate dismissal and/or possible personal liability, pursuant to Republic Act No.
10173 or the Data Privacy Act of 2012, or any legal action arising from such breach.

Personnel Administering Pledge.

Printed Name & Signature

Personnel Making Pledge PESO Manager

Date Signed Date Signed

Validated by. Noted by.

NSRP Coordinator DOLE Regional Director

Date Signed Date Signed

Department of Labor and Employment

Regional Office No:
Field Office.