Student Information Sheet  (Returnee)
Academic Year 2020-2021
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I - PERSONAL INFORMATION
Last Name (Capital Letter) *
First Name (Capital Letter) *
Middle Name (Capital Letter)
Birth Day *
MM
/
DD
/
YYYY
Email Address *
Mobile Number (Ex: 09123456789) *
Gender *
Year Level *
Program *
III - SURVEY (Please answer the following questions about your online connectivity at home. Your responses will enable our professors to adopt an appropriate learning delivery modality that will ensure the quality of instruction, learning, and student interaction during this COVID-19 Pandemic)
 Types of internet connection: *
Modes of connection *
Quality of connection *
Device(s) used (check as many as available) *
Required
IV - DECLARATION OF CONSENT
In line with my enrolment with the University of Negros Occidental-Recoletos, I have read this form, understood, verified correct its contents, and I hereby give my consent to UNO-Recoletos to collect and process my personal data for admission purposes. I am fully aware that UNO-Recoletos may share my information to its affiliated organizations, or to government agencies pursuant to law or legal processes in relation to Republic Act No. 10173 or the Data Privacy Act of 2012 (www.privacy.gov.ph/data-privacy-act/#11) *
Required
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