Bpsu-Rof-042 Edrielle L. Valdez1

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BATAAN PENINSULA STATE UNIVERSITY BPSU-ROF-042

OFFICE OF THE UNIVERSITY REGISTRAR 07/01/2017


City of Balanga 2100 Bataan
COURSE
PHILIPPINES
ASSESSMENT
FORM
CAMPUS MAIN

Name EDRIELLE L. VALDEZ 1st Sem 2nd Sem Summer/Midyear


Student No. 15-03791 Sex: Male  Female Academic Year 2019-2020
Program BSEE Curriculum Year Fifth Year

Major Contact No. 09770411261

Course Code Course Title Units Class Days Time Room Remarks
EEPS-513 EE PROJECT STUDY 1

Prepared by: Evaluated by: Approved:

EDRIELLE L. VALDEZ JAZELL R. CAÑAS


Student's Full Name Evaluator Campus Registrar

BATAAN PENINSULA STATE UNIVERSITY BPSU-ROF-044


OFFICE OF THE UNIVERSITY REGISTRAR 07/16/2018
City of Balanga 2100 Bataan
PHILIPPINES
DATA PRIVACY
CONSENT
CAMPUS MAIN

In compliance with the Data Privacy Act (DPA) of 2012, and its Implementing Rules and Regulations (IRR), I allow Office
of the University Registrar (OUR) and of the Campus Registrar of Bataan Peninsula State University (BPSU) to provide me
certain services declared in relation to my enrollment to BPSU.

As such, I agree and authorize BPSU OUR to:


1. Continue to use my and my academic information to process services offered by the office in particular and by the
University as a whole.
2. Retain my information indefinitely for historical and statistical purposes.
3. Share my information and report of grades to government agencies such as but not limited to CHED, UniFAST, PRC,
DFA, DOST, DSWD, LGUs including my Scholarship/Grant provider, if any.
4. Inform me of future campaigns and base its offer using the personal information I shared with the University.

I also acknowledge and warrant that I have acquired the consent from all parties relevant to this consent and hold free
and harmless and protect BPSU OUR from any complaint, suit, or damages which any party may file or claim in relation to
my consent.
1
Signed this _____day JUNE 20 at ___________________________________.
of __________________20___

EDRIELLE L. VALDEZ
_____________________________________
Student's Full Name
15-03791
Student No. __________________________

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