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University of Pangasinan: Office of The University Registrar Temporary Registration Form

This document is a temporary registration form for a student at the University of Pangasinan. It requests information such as the student's name, ID number, course, major, year level, subjects, and signatures from the student and their adviser. The form also includes a data privacy statement noting that the university will protect any personal data collected and only use it for its intended operational purposes or to comply with legal obligations.

Uploaded by

Rosemarie Villanueva
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162 views6 pages

University of Pangasinan: Office of The University Registrar Temporary Registration Form

This document is a temporary registration form for a student at the University of Pangasinan. It requests information such as the student's name, ID number, course, major, year level, subjects, and signatures from the student and their adviser. The form also includes a data privacy statement noting that the university will protect any personal data collected and only use it for its intended operational purposes or to comply with legal obligations.

Uploaded by

Rosemarie Villanueva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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UNIVERSITY OF PANGASINAN

PHINMA EDUCATION NETWORK


Office of the University Registrar
TEMPORARY REGISTRATION FORM

STUDENT INFORMATION

LAST NAME : FIRST NAME : MIDDLE NAME : STUDENT I.D.

COURSE MAJOR Email/Facebook Acc. YEAR LEVEL

[ ] New [ X ] Old/Continuing CURRICULUM


CONTACT NO.
[ ] Cross-enrolee [ ] Returnee
[ ] Shiftee [ ] Transferee S Y 20 20- 2021 [ X ] 1st Sem ☐2nd Sem ☐Summer

Subject Code Descriptive Title Units Section Time Day Room

Name & Signature of Adviser/Evaluator Total Units Advised: Dean's Signature Student's Signature

Adviser's Remarks Encoder's Name Encoder's Signature Date Encoded

Note to Adviser / Evaluator : Please indicate "Nothing Follows" after the last subject.
Data Privacy Statement
University of Pangasinan recognizes its responsibilities under the Republic Act No. 10173, also known as the Data Privacy Act of 2012, with respect to the
data collected, recorded, organized, updated or modified, used, shared, retained, retrieved, consulted, consolidated, blocked, erased or destructed from
students, employees, alumni, affiliates, contractors, visitors, partners, and vendors.
The personal data obtained from the data subject or an individual is entered and stored within the company authorized information and communication
systems for the period allowed under applicable laws and regulations, and will only be accessed by the authorized personnel. University of Pangasinan has
instituted appropriate organizational, technical and physical security measures to ensure the protection of the collected personal data.
Furthermore, the information collected shall be shared with and made available to DEPED/TESDA/CHED/LEB and/or any other interested parties in order
to pursue lawful purposes and legitimate interest and comply with legal mandate, and only be used for the purpose of operations and will never be disclosed
to anyone without prior consent.

Conforme :
Student's Signature Over Printed Name : Date :
===============================================================================================================================
ONLINE MONITORING: (for Registrar's Office)
Sent ORF to student's email? [Yes/No] Date: By:
With request for changes? [Yes/No]
Notations:
NOTES:

Required entries for adviser.

Required entries for encoder.


UNIVERSITY OF PANGASINAN
PHINMA EDUCATION NETWORK
Office of the University Registrar
TEMPORARY REGISTRATION FORM

STUDENT INFORMATION

LAST NAME : FIRST NAME : MIDDLE NAME : STUDENT I.D.

COURSE MAJOR Email/Facebook Acc. YEAR LEVEL

[ ] New [ X ] Old/Continuing CURRICULUM


CONTACT NO.
[ ] Cross-enrolee [ ] Returnee
[ ] Shiftee [ ] Transferee S Y 20 20- 2021 [ X ] 1st Sem ☐2nd Sem ☐Summer

Subject Code Descriptive Title Units Section Time Day Room

Name & Signature of Adviser/Evaluator Total Units Advised: Dean's Signature Student's Signature

Adviser's Remarks Encoder's Name Encoder's Signature Date Encoded

Note to Adviser / Evaluator : Please indicate "Nothing Follows" after the last subject.
Data Privacy Statement
University of Pangasinan recognizes its responsibilities under the Republic Act No. 10173, also known as the Data Privacy Act of 2012, with respect to the
data collected, recorded, organized, updated or modified, used, shared, retained, retrieved, consulted, consolidated, blocked, erased or destructed from
students, employees, alumni, affiliates, contractors, visitors, partners, and vendors.
The personal data obtained from the data subject or an individual is entered and stored within the company authorized information and communication
systems for the period allowed under applicable laws and regulations, and will only be accessed by the authorized personnel. University of Pangasinan has
instituted appropriate organizational, technical and physical security measures to ensure the protection of the collected personal data.
Furthermore, the information collected shall be shared with and made available to DEPED/TESDA/CHED/LEB and/or any other interested parties in order
to pursue lawful purposes and legitimate interest and comply with legal mandate, and only be used for the purpose of operations and will never be disclosed
to anyone without prior consent.

Conforme :
Student's Signature Over Printed Name : Date :
===============================================================================================================================
ONLINE MONITORING: (for Registrar's Office)
Sent ORF to student's email? [Yes/No] Date: By:
With request for changes? [Yes/No]
Notations:
NOTES:

Required entries for adviser.

Required entries for encoder.

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