Request Form (CONserve-KAIGANGAN Database)

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This form was created to collate requests for our biodiversity data on the forest over limestone ecosystems of Samar Island. We will collect your personal information as well as the purpose for requesting such data. Upon submitting this form, we will carefully evaluate your request based on your response to this form.

By filling out this form, you are allowing CONserve-KAIGANGAN Program to collect and process personal information in accordance with the University Privacy Policies (https://privacy.up.edu.ph) and the Data Privacy Act of 2012.

Email *

NAME *

Surname, First Name, Middle Initial (if available)

BIRTHDAY *

YYYY

SEX *

Male

Female

Prefer not to say

ADDRESS *

AFFILIATION *

Please type the name name of your school, university, agency, office, or organization.

CLASSIFICATION *

Junior High School Student

Senior High School Student

Undergraduate Student

Graduate Student

Faculty

Researcher

Government Employee

Non-government or Private Employee

Other:

NAME of your adviser, immediate supervisor, or principal investigator *

AFFILIATION of your adviser, immediate supervisor, or principal investigator *

E-MAIL ADDRESS of your adviser, immediate supervisor, or principal investigator *

Type of data that you would like to request from us: *

Please select at least one from the options below.

Plant Diversity Data (Paranas, Samar)

Plant Diversity Data (Taft, Eastern Samar)

Plant Diversity Data (Guiuan, Eastern Samar)

Animal Diversity Data (Paranas, Samar)

Animal Diversity Data (Taft, Eastern Samar)

Animal Diversity Data (Guiuan, Eastern Samar)

Other:

Required

Kindly state the purpose of requesting our biodiversity data: *

Are you willing to collaborate in presenting oral or poster papers in scientific conferences to share the findings from the CONserve-KAIGANGAN dataset? *

Yes

Are you willing to collaborate in writing a paper from the CONserve-KAIGANGAN dataset you will analyze? *

Yes

A copy of your responses will be emailed to the address you provided.

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