Data Privacy Clause: By completing this form, I hereby agree that --- may collect, use, disclose, and process my personal data for the purpose of evaluating programs, activities, and services. By signing this consent form, I grant my free, voluntary and unconditional consent to these purposes for all Personal Data. In accordance with the Data Privacy Act (DPA) of 2012, and its Implementing Rules and Regulations (IRR) effective since September 8, 2016, I am aware of my right to be informed as well as the rights to object, to erasure, and to file a complaint.
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