ANNEX“C”
DATA PRIVACY CONSENT FORM
We at the Technology Application and information who will treat
Promotion Institute are committed to any confidential information
provide you with the services involving under strict
application and promotion of science and confidentiality. In case of
technology pursuant to Executive Order breach, TAPI shall notify
No. 128 and RA 7459 while implementing you and inform the National
safeguards to protect your privacy and
keep your personal data safe and secure.
Privacy Commission (NPC) in
accordance to the NPC
Processing of Personal Data Circular 16-03 or Personal
Data Breach Management.
The personal information being collected Personal information collected are stored
which may include your name, contact and later on disposed of via shredding
numbers, email address, home and office and permanently deleted in our electronic
address, photos, and the like, may be files in accordance to R.A. No. 9470
used for (1) evaluation of the proposal; (2) otherwise known as National Archives of
monitoring of the approved project; (3) the Philippines Act of 2007.
sending
notifications/updates; and (4) other similar Rights of the Data Subject
activities, in connection to your request
for "Tax/Duty Exemption” and the As the Data Subject, you have the right to
succeeding projects that the Data Subject be informed of the personal information
may have with TAPI. Said information will being collected, processed, and stored by
also be shared within DOST System for TAPI as well as to access, object, rectify,
the purpose of informing and/or inviting and block the same. For questions or
the data subject to any other events, concerns, you may contact our Data
promotions, proposals, and other Protection Officer through the following
activities of DOST System. Further, said details:
information will be shared within and used
by DOST System for statistics purposes. (02) 837 2071 local 2162
info@[Link]
Data Protection
I have read this form, understood its
We shall implement reasonable and contents, and consent to the processing
appropriate organizational, physical, and of my personal data. I understand that my
technical security measures for the consent does not preclude the existence
protection of personal information which of other criteria for lawful processing of
we collected. personal data, and does not waive any of
my rights under the Data Privacy Act of
Only authorized personnel are permitted 2012 and other applicable laws.
and have access to the collected
(Signature over Printed Name)
(Date)