5/1/22, 7:35 AM On-Line Application for PLMAT of Pamantasan ng Lungsod ng Maynila

PLM Admission Form 1 (2020)

PLM Application Form

Pamantasan ng Lungsod ng Maynila

University of the City of Manila
Intramuros, Manila

PLM Application Form

APPLICANT ID: 202247530

PERSONAL INFORMATION:

FULL NAME: Paul Soronio Oga

First Name Middle Name Last Name Extension Name

ADDRESS: Zone 12 - Santa Cruz , TAGOLOAN

PROVINCE: MISAMIS ORIENTAL

REGION: REGION X (NORTHERN MINDANAO)

Santa Monica,
BIRTH DATE: Jan 19, 2003 BIRTH PLACE: Novaliches, Quezon City, GENDER: M
Manila

CONTACT NO: 09674570767 EMAIL-ADDRESS: pauloga857@gmail.com

FAMILY INFORMATION:
Particulars Father Mother
Full Name Edgar Silao Oga Lorna Sasil Soronio
Address Zone 12, Santa Cruz, Tagoloan, Misamis Oriental Zone 12, Santa Cruz, Tagoloan, Misamis Oriental
Contact No. 09978452158 0
Occupation Retired with Pension Self Employed
Family Monthly Income: Between PHP 10,481 and PHP 20,962 Between PHP 10,481 and PHP 20,962

SCHOOL INFORMATION:
LRN : 222503090477
STRAND STEM
School Name Phinma Cagayan de Oro College Puerto Campus
School Address MISAMIS ORIENTAL
School Email Address info.coc@phinmaed.com
General Weighted Average Grade 11: 92.11
(GWA)
Program Choice 1: Bachelor of Science in Civil Engineering
Program Choice 2: Bachelor of Science in Electrical Engineering
Program Choice 3: Bachelor of Science in Manufacturing Engineering
DATA PRIVACY CONSENT FORM

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5/1/22, 7:35 AM On-Line Application for PLMAT of Pamantasan ng Lungsod ng Maynila

The Pamantasan ng Lungsod ng Maynila (PLM) and its duly authorized representatives are
dutybound and obligated under Republic Act No. 10173 (Data Privacy Act of 2012) and its
Implementing Rules and Regulations (IRR), and other data privacy rules, to protect the personal
and sensitive personal information that PLM collects, possesses, and retains upon your
enrollment and during your stay in the University.

Personal and sensitive personal information includes any information about your identity,
academics, or any document containing your identity. This includes, but is not limited to, your
name, address, landline/mobile number, email address, names of your parents or guardians,
date of birth, academic information such as grades and attendance, and other information
necessary for basic administration and instruction. By consenting to this Data Privacy Consent
Form, you agree that:

1. You authorize the University to collect, retain and process information relating to your
PLMAT application for purposes of admission to the University and for your subsequent
enrollment should you eventually qualify to be admitted in PLM. PLM shall also collect, retain
and process your personal and sensitive personal information to pursue its legitimate interests
as an educational and government institution.

2. You expressly authorize PLM to verify, validate and authenticate the information and
documents that you submitted with relevant government and non-government sources and third
parties, for purposes of your admission, enrollment, and other legitimate transactions in PLM.

3. You authorize PLM to share your personal and sensitive personal information with its
affiliated or partner organizations as part of its contractual obligations, or with government
agencies such as, but not exclusive to, the Commission on Higher Education (CHED), UniFAST,
and the City Government of Manila, pursuant to law or legal processes.

4. You understand that photocopies or electronic copies of the personal documents that you
submitted in relation to your application for admission will either be returned to you or properly
disposed of by PLM if you are not accepted for admission or should you decide not to pursue
your application. On the other hand, once accepted and upon enrollment, you will submit the
originals of the needed documents to the Office of the University Registrar.

5. If the University has determined that you qualify for the Social Amelioration Program (SAP)
of the City of Manila under City Ordinance No. 8568, you further authorize PLM and the City
Government of Manila, their agents, representatives and/or outsourced service providers, to:

a) collect, process, update or disclose personal information about you, and to obtain
information about your personal and academic records, for the purpose of availing the
services of the Land Bank of the Philippines (LBP), or any
necessary third party, for the monthly monetary allowance program of the City Government
of Manila; and

b) establish, confirm, review or update your record with the said LBP or necessary third party,
provided that the same is for a legitimate purpose, and to use, submit, or issue the same to
comply with reporting obligations under applicable laws, rules and regulations.

For this purpose, you agree to hold the City Government of Manila and PLM and the persons
or entities from whom they may obtain, or with whom they may disclose or verify your

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5/1/22, 7:35 AM On-Line Application for PLMAT of Pamantasan ng Lungsod ng Maynila

personal information, free and harmless from any liability arising from the use of any such
information.

6. You confirm that you are aware that under the Data Privacy Act, you have (a) the right to
withdraw the consent hereby given or to object to the processing of your personal information
provided there is no other legal ground or overriding legitimate interest for the processing
thereof; (b) the right to reasonable access; (c) the right to rectification; and (d) the right to
erasure or blocking of your personal information; subject, however to the conditions for the
legitimate exercise of the said rights under the Data Privacy Act and its IRR, and subject further
to the right of PLM to disqualify you from admission or enrollment to PLM or from availing of any
transaction or benefit to which you may be entitled under the laws or other rules and regulations,
should you withdraw your consent or request the removal of your personal information.

April 29, 2022

Signature Over Printed Name of

Date
Applicant

April 29, 2022

Signature Over Printed Name of

Date
Guardian

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