Republic of the Philippines

Department of Education
Region III-Central Luzon
Schools Division of Bulacan
San Miguel National High School

CONFIDENTIALITY AGREEMENT

In consideration for the disclosure of information generally relating to the printing

and use of SLMs/Modules, I agree to fulfill my responsibilities on this project in
accordance with the following:
1. I agree to not permit unauthorized access to the data, either electronically, in
hard copy or orally;
2. I understand that access to this confidential information and data carries with
it to guard against unauthorized use and to abide by the data security plan.
3. To treat information as confidential means to not divulge it or make it
accessible to anyone who is not a project member.
4. I will maintain the highest level of confidentiality of this information.

School: SAN MIGUEL NATIONAL HIGH SCHOOL

Student’s Name: Name of Student
Grade Level/Section: Grade 11- Section
Parent’s Name: Name of Parent
Signature:
Date of Agreement: mm/dd/yyyy

San Miguel National High School

Scuala St., San Juan, San Miguel, Bulacan
Telephone Nos: (044) 327-1123 / (044) 327-1104