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KKDAT Form 1

The document contains a personal data sheet for members of the Kabataan Kontra Droga At Terorismo (Youth Against Drugs and Terrorism) advocacy support group. The form collects basic contact information, demographic details, skills/hobbies, and organization affiliations. For youth under 12, parental consent is required with a note stating approval to join the chapter and provide the child's basic information. The form is signed by the KKDAT focal person collecting the details.

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brivashalimar12
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288 views2 pages

KKDAT Form 1

The document contains a personal data sheet for members of the Kabataan Kontra Droga At Terorismo (Youth Against Drugs and Terrorism) advocacy support group. The form collects basic contact information, demographic details, skills/hobbies, and organization affiliations. For youth under 12, parental consent is required with a note stating approval to join the chapter and provide the child's basic information. The form is signed by the KKDAT focal person collecting the details.

Uploaded by

brivashalimar12
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ADVOCACY SUPPORT GROUP

ADVOCACY SUPPORT GROUP (Kabataan Kontra Droga At Terorismo)


(Kabataan Kontra Droga At Terorismo) Personal Data Sheet
Personal Data Sheet

First Name: Age First Name: Age


Birthdate Birthdate
Middle Name: Gender Male Female Middle Name: Gender Male Female

Last Name: Civil Single Married Last Name: Civil Single Married
status status
Address: Address:
Contact No. Contact No.
Grade: Grade:
School: School:
Ambition: Ambition:
Social Media Acct. Facebook Acct. Twitter Acct: Youtube Acct. Social Media Acct. Facebook Acct. Twitter Acct: Youtube Acct.

Instagram Acct. Tiktok Acct. Other/s: Instagram Acct. Tiktok Acct. Other/s:

Special Skills/ Talent/ Hobbies: Special Skills/ Talent/ Hobbies:


Name and Address of other Name and Address of other Organization
Organization Affiliated: Affiliated:
Signature of Member: Signature of Member:
Note: Note:
a. For youths ages 12 and below who are willing to join the KKDAT, must have a a. For youths ages 12 and below who are willing to join the KKDAT, must have a parent’s
parent’s consent with signature. consent with signature.
b. “Pinahihintulutan ko ang aking anak na si ___________________ na maging b. “Pinahihintulutan ko ang aking anak na si ___________________ na maging kabahagi
kabahagi ng KKDAT Minalabac Chapter at ang pangangalap ng basic information ng ng KKDAT Minalabac Chapter at ang pangangalap ng basic information ng aking anak.”
aking anak.”
c. Parent’s Name and Signature: ___________________________.
c. Parent’s Name and Signature: ___________________________.

PSSg KAREN B CALLO


PSSg KAREN B CALLO KKDAT Focal Person
KKDAT Focal Person

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