Form No. UG-28.

Consent Form

Under 18 years old:

I, acting as the legal guardian of

who is currently applying for entrance/admission/enrollment into De La Salle University
Manila am giving consent for DLSU to collect and process our personal data in relation to
the purpose of entrance/admission/enrollment to the university.

18 years old or above:

I, of legal age and is currently applying for

entrance/admission/enrollment into De La Salle University Manila am giving consent for
DLSU to collect and process my personal data in relation to the purpose
of entrance/admission/enrollment to the university.

Specifically, consent is being given for the activities and purposes indicated in the
following link: http://www.dlsu.edu.ph/admissions/undergraduate/forms/consent-form.pdf

Under 18 year old: 18 years old and above:

Parent/Guardian’s Signature Signature Over Printed Name

Over Printed Name

Date Signed Date Signed

2401 Taft Avenue, 922 Manila, Philippines | Direct Line: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph | www.dlsu.edu.ph/admissions