OFAD FORM 04 Colegio San Agustin- Makati : Palm Ave, Dasmaritas Village Makati, Motro Manila admissions@csa.edu.s 2 httos://csa.edu.ph CONFIDENTIAL By accomplishing this questionnaire, | am es t a 2 ‘information or data herein are true and correct. Furthermore, by signing below, | am giving consent to verify information from my child’s previous school and use this data that deems it necessary for my child’s acceptance to CSA as allowed by and in accordance with the law. | fully understand that any misrepresentation of information supplied herein will be considered sufficient reason for refusal of admission. Electronic Signature. | hereby acknowledge that signature sent by electronic means (scanned and sent via-email or signed by electronic signature) shall be deemed original signatures. | further agree that my electronic signature is legally binding equivalent to handwritten signature. | will not, at any time in the future, repudiate the meaning of my electronic signature or claim that itis not legally bindi Personal Information Processing Consent. | hereby consent to the processing and use of information of my child/children for the purposes mentioned above. A signed document by either parent or assigned guardian would mean that both parents/guardians are in agreement of its content. ‘ ser Signature over, ‘Name of Parent or Legal Guardian 33