Data Privacy Letter and Consent Form
Data Privacy Letter and Consent Form
Niño
STO. NIÑO SUBDIVISION, CITY OF MEYCAUAYAN, BULACAN
*PAASCU Re-Accredited (Level II) * CEAP and RVM-EAP Member
Tel: (044) 323 – 4010 Email: [email protected] Website: www.smasn.edu.ph
St. Mary’s Academy of Sto. Niño collects and uses personal information (referred to in the R.A.
1073 Data Privacy Act of 2012 as personal information) about staff, pupils, parents, and other
stakeholders who come in contact with the school. We ensure the safety of your personal
information through the school’s data privacy policy. All information collected will be used for the
provision of education and other associated functions.
In line with this, we are asking the consent of our dear parents for the said collection and
utilization of all personal information gathered by the school. Consent forms will be distributed
and retrieved per section through the advisers. Attached below is the soft copy of the consent
form.
St. Mary’s Academy of Sto. Niño is one with you in delivering quality distance and online
education this school year.
Prepared by:
Ms. Mercedita C. Culalic
Data Protection Officer
Noted by:
Mrs. Ricarda C. Noroña
Principal
Approved by:
S. Ma. Ninfa T. Gemang, RVM
Directress
St. Mary’s Academy of Sto. Niño
STO. NIÑO SUBDIVISION, CITY OF MEYCAUAYAN, BULACAN
*PAASCU Re-Accredited (Level II) * CEAP and RVM-EAP Member
Tel: (044) 323 – 4010 Email: [email protected] Website: www.smasn.edu.ph
____________________
(date)
I am aware that I am not entitled to any compensation out of the use of such images and/or
videos.
By affixing my signature below is an acknowledgement that the school has answered all my
queries and I fully understand this agreement.
This consent was given on __________ (Date) at St. Mary’s Academy of Sto. Niño.
Respectfully yours,
_________________________ _________________________
Printed name over Signature Printed name over Signature