Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
141 views1 page

Cbms Data Consent Form

The CBMS Data Consent Form allows the Provincial Government of Ilocos Sur to collect and process personal information for development planning and project implementation. It outlines the types of personal information collected, the purposes for data collection, and the rights of individuals regarding their data, including the right to withdraw consent. The form emphasizes data security and retention in compliance with applicable laws.

Uploaded by

Janno Batara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
141 views1 page

Cbms Data Consent Form

The CBMS Data Consent Form allows the Provincial Government of Ilocos Sur to collect and process personal information for development planning and project implementation. It outlines the types of personal information collected, the purposes for data collection, and the rights of individuals regarding their data, including the right to withdraw consent. The form emphasizes data security and retention in compliance with applicable laws.

Uploaded by

Janno Batara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Date: ________ CBMS DATA CONSENT FORM Control No.

_______

I, _____________________________________, hereby grant consent to the Provincial Government of


Ilocos Sur to collect and process my personal information for the purpose of development planning and
project implementation within the province of Ilocos Sur.

1. Personal Information: The personal information to be collected and processed may include but is not
limited to:
Full Name Birthday
Address Contact No
Email Occupation

2. Purpose of Data Collection and Processing: The personal information collected will be used for
development planning and project implementation initiatives undertaken by the Provincial Government of
Ilocos Sur. This may include but is not limited to:
1. Identifying development priorities
2. Designing and implementing infrastructure projects
3. Allocating resources effectively
4. Conducting surveys and studies related to development

3. Consent to Processing: I understand that by providing this consent, I authorize the Provincial
Government of Ilocos Sur to collect, store, and process my personal information as described above. I
acknowledge that my personal information may be used for the stated purposes and may be shared with
relevant government agencies or third-party service providers involved in development planning and
project implementation.

4. Data Security: The Provincial Government of Ilocos Sur will take appropriate measures to ensure the
security and confidentiality of my personal information. I understand that my information will be handled
in accordance with applicable data protection laws and regulations.

5. Data Retention: My personal information will be retained only for the duration necessary to fulfill the
purposes outlined in this consent form or as required by law.

6. Right to Withdraw Consent: I understand that I have the right to withdraw this consent at any time by
contacting the Provincial Government of Ilocos Sur. However, withdrawal of consent may affect my
participation in development planning and project implementation activities.

I hereby acknowledge that I have read and understood the information provided in this consent form. By
signing below, I voluntarily consent to the collection and processing of my personal information by the
Provincial Government of Ilocos Sur for the stated purposes.
Effective Date
_________________________________ Address
Sinature over Printed Name Contact Number

Remarks:

*Please retain a copy of this consent form for your records. Thank you for your cooperation.

You might also like