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Form No. UG-28.1 Office of Admissions and Scholarships Consent Form Under 18 years old: 1, _Cliza_C. Mita acting as the legal guardian of _Lawell__¢. Miva 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 entranceladmission/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 univer Specifically, consent is being given for the activities and purposes indicated in the following link: http://www.disu.edu. ph/admissions/undergraduate/forms/consent-form.pdf Under 18 year old: 18 years old and above: Oo Muna, EUR eM Parent/Guardian’s Signature ‘Signature Over Printed Name Over Printed Name vefoter J+, 20a) = Date Signed Date Signed 2401 Taft Avene, 922 Mail, Philippines | Diet Line: (63) 523-423 | Trunk Line (632) 524-4611 lo. 166 ‘slmisions i eda ph | srs de phadsons

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