ENROLLMENT WAIVER AND CONSENT FORM
I, ______________________________________ , have enrolled in the course ____________________________________ at Holy Cross of Davao College (HCDC), located at Sta. Ana Avenue, cor. C. De Guzman, Brgy. 14-B, Davao City.
I acknowledge all the requirements needed for admission.
I understand that my initial admission is on provisional enrollment and that I have to submit the original copies of the admission requirements including compliance with the additional requirements, if any, before the end of the _______ semester. This is for me to be accepted as regular student subject to the program’s retention policies.
For BS in Criminology students: I understand that if I will not pass the drug test, I will be advised to shift to another course.
For BS in Marine Transportation students: I understand that if I will not pass the medical exams and psychological test, I will be advised to shift to another course.
I hereby promise that I will follow the rules and regulations of the school. This I promise to do throughout my study at HCDC.
Likewise, in accordance with RA 10173 or Data Privacy Act of 2012, I consent to the following terms and conditions on the collection, use, processing and disclosure of my personal data:
1. I am aware that HCDC collects, processes, uses and stores my personal and other permanent records as a student of the academic institution. These data include but are not limited to my demographic profile, government-issued documents, academic and non-academic records, co and extra-curricular activities engaged in, college entrance, medical and psychological tests result, etc.
2. In its pursuit towards the legitimate interest and functions as an educational institution, I give my consent to HCDC to collect, acquire, generate, process, store and share my personal data in any forms such as written, photographic, digital formats subject to regulatory and school policies.
3. I allow HCDC to collect additional information required in the performance of the school’s duties and obligations when needed.
4. I am aware and I give my consent that once I am already enrolled, DgDiary will collect and process the following data, specifically: full name, gender, program, year level, ID number, primary mobile number, secondary mobile number, HCDC e-mail address, enrolled subjects, assessment, and balances for the DgFee online fee collection system.
5. I agree to update these data when needed.
6. To ensure the protection of my rights as a data subject and towards efficient management of the organization’s records, I understand that Holy Cross of Davao College shall warrant me the rights as afforded by the Data Privacy Act of 2012.
7. I agree to report any concerns about collection, processing, use and storage of my personal data at firstname.lastname@example.org or email@example.com.
I have read this Enrollment Waiver and Consent Form, understood its contents, and consent to the processing of my personal data. I understand that my consent does not preclude the existence of other school policies and guidelines for lawful processing of personal data and does not waive any of my rights under the Data Privacy Act of 2012 and other applicable laws.
In view of this Enrollment Waiver and Consent Form, I do hereby affix my signature this ______ day of ________ in the year of our Lord _______ at __________________________.
Note: The Waiver is binding from the date signed. Likewise, the Data Subject Consent Form is binding from the date of admission at Holy Cross of Davao College up to indefinite time.Download/Print