Republic of the Philippines

ROMBLON STATE UNIVERSITY

San Fernando, Philippines

ATTENDANCE SHEET

Faculty and Employees

Unit: _________________________________________________________________
Title of Activity: _________________________________________________________
FLAG CEREMONY
Date of Activity: __________________________Time
MAY 8, 2023 4:00 A.M.
of Activity:__________________

Data Privacy Statement

Romblon State University respects your right to privacy and is committed to protecting the confidentiality of your personal information. By filling out this
form, you are consenting to the collection, processing, and use of the information in accordance with this privacy notice. The information you have
provided is used for any or all of the following: access provision, attendance, monitoring, evaluation, documentation, and communication purposes. The
University shall only retain the said personal information until it serves its purpose, after which it shall be securely disposed of. Suppose you have
concerns and queries on Data Privacy, email dpo@rsu.edu.ph. Rest assured that we will respect and protect the confidentiality and privacy of these
data and information as required by the Data Privacy Act of 2012 (R.A 10173).

No. Name Contact Number Sex Signature

 Republic of the Philippines
ROMBLON STATE UNIVERSITY
San Fernando, Philippines

QAO-01-0022 AT No. _________

Creation Date: 2021-02-14
Revision Date: 2022-01-24