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Privacy Agreement: 
The personal information included in this document should only be used for the purposes of administering this form. Any personal information included herein may not be used for other purposes aside from those stated above.  This is in compliance with RA 10173 otherwise known as the Data Privacy Act of 2012, and DepEd Order No. 72 s. 2016 otherwise known as the Department of Education People's Freedom of Information Manual and Implementing Details.
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