Professional Documents
Culture Documents
Sex Country
__ Male __Female
SSS/GSIS Number Mobile Number
Spouse: (Given Name, Middle Name, Surname, Extension Name) Date of Birth (dd-mm-yyyy)
Children: (Given Name, Middle Name, Surname, Extension Name) Date of Birth (dd-mm-yyyy)
1.
Date of Birth (dd-mm-yyyy)
2.
Date of Birth (dd-mm-yyyy)
3.
Date of Birth (dd-mm-yyyy)
4.
Date of Birth (dd-mm-yyyy)
5.
EDUCATIONAL BACKGROUND
Level School/Address Highest Attainment/Year Graduated
Primary
Secondary
Tech-Voc
Bachelor
Graduate
EMPLOYMENT BACKGROUND
Position Company/Address Inclusive Dates
In as much as we value your trust and confidence in us, we would like to ensure that
KKMMI remains a trustworthy partner in your journey towards life prosperity. We are
making every effort to comply fully with the existing laws and regulations that govern us.
In compliance with RA-10173 also known as the Philippine Data Privacy Act (DPA) of
2012, whose Implementing Rules and Regulations took effect on September 9, 2016,
KKMMI seeks to secure your consent on the general use and sharing of information
obtained from you so as to render certain services that collect, store, process, update,
share and disclose such information in relation to the KKMMI vision and mission.
Should you have questions or concerns about data privacy consent form, please send
your query to #099 Centro Street, Guyong, Sta. Maria, Bulacan, Philippines or contact
any of our KKMMI officers deployed in your area.
Sincerely yours,
KKMMI
In compliance with the Data Privacy Act (DPA) of 2012, and its Implementing Rules and
Regulations (IRR) effective since September 8, 2016, I agree and authorize KKMMI to:
4. Inform me of future KKMMI plans and benefits and base its offer using the
personal information I shared with it.
I hereby certify that all information contained in this application are correct and complete.
I authorize you to obtain such information as KKMMI may require concerning the
statements made in this application and that the sources to which to which you may
apply for such information are hereby authorized to provide you the same. I agree that
the application may remain a KKMMI property whether or not the application is
approved. I also do hereby waive the confidentiality of all my information and further
authorize KKMMI to conduct random verification of such information.
I also acknowledge and warrant that I have acquired the consent from all parties relevant
to this consent and hold free and harmless and indemnify KKMMI from any complaint,
suit, or damages which any party may file or claim in relation to my consent.
Should you have questions or concerns about data privacy consent form, please send
your query to #099 Centro Street, Guyong, Sta. Maria, Bulacan, Philippines or contact
any of our KKMMI officers deployed in your area or email us at
kkmminational@gmail.com.