SURVEY FORM FOR PARENT

The Association of Civil Engineering Students – DHVSU ACES aims to obtain information and details from the
Civil Engineering students at the College of Engineering and Architecture regarding the Association of Civil
Engineering Students membership. DHVSU ACES adheres to Republic Act 10173 or the Data Privacy Act of
2012. The organization assures you that all information gathered through this form will only be utilized of by the
duly authorized ACES.
I have read and understood the Data Privacy Agreement and hereby give my consent.
___ I agree ___ I disagree

Name of Parent: ______________________________________________________

Name of Son/Daughter: ________________________________________________

Year and Section: ________

ACES Membership
Are you willing to let your child become a member of the Association of Civil Engineering Students?
__Yes __No

Are you willing to let your child pay a membership fee amounting to Php 100.00 to become a part of our
organization?
__Yes __No

ACES Merchandise
Are you willing to let your child purchase any merchandise launched by the ACES organization?
__ Yes __ No

Please be aware that this form is strictly for survey purposes. Please note that separate forms will be provided as
official membership forms.

I comprehensively understand the information and context presented in this form.

Signature over Printed Name of Parent