[REGISTRATION] MUla Kay Doktora: The Julita Ramoso Jalbuena Memorial Women's Health Forum
2nd and/or 4th Tuesdays, 12-1 NN (July 2021 to June 2022)

**The Mu Sigma Phi Sorority recognizes the responsibilities under the Republic Act. No 10173, also known as the Data Privacy Act of 2012, with respect to the data they collect, record, organise, update, use, consolidate, or destruct from their participants.

All data collected in this form will be kept confidential and secured through the following measures:
1. Only email addresses authorized by the Mu Sigma Phi Webinar Heads will have access to the database.
2. Online and offline copies of the database will be password-protected.
Identifying data will only be provided for purposes of documentation as required by PMA and PRC.

You may view the Data Act Privacy through this link: https://www.privacy.gov.ph/data-privacy-act/

By answering the form, you give consent to the collection of information.
Last Name *
First Name *
Email address (PLEASE SPELL CORRECTLY) *
Occupation *
PRC No. if applicable *
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