OHCSA Record & Document Request Form
We will be collecting your name, email address, contact numbers and other personal information. These data are collected for specific and legitimate purposes. These shall be processed in a manner consistent with the purpose for which the same were originally collected. The personal information and other requested data collected shall be retained for as long as necessary for the purpose for which the data was obtained. Rest assured that we will keep said information secure and accessible only to authorized persons and shall be disposed of or discarded in a secure manner that would prevent further processing, unauthorized access or disclosure to any other party or public or that would prejudice your interest, in full compliance with the provisions of RA 10173, otherwise known as the “Data Privacy Act of 2012” and its implementing rules and regulations (IRR).            

By clicking the link, you agree to the collection of the aforementioned personal information,  its processing, storage and disposition by this Office, in accordance with RA 10173 and its IRR.
Sign in to Google to save your progress. Learn more
FULL NAME *
DESIGNATION *
INSTITUTE/UNIT *
EMAIL ADRESS *
TYPE OF RECORD/DOCUMENT(S) *
Required
SPECIFIC TITLE OF RECORD/DOCUMENT *
Please provide the date and year
PURPOSE *
COPY NEEDED  *
Note: Memorandum documents for Signature of the College President require hard copies only.  For other records or documents, you may request a hard copy. If you prefer a soft copy, it will be sent directly to your DNSC email address.
NUMBER OF COPIES *
For Memorandum Documents only. Indicate N/A if not applicable.   
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Davao del Norte State College.

Does this form look suspicious? Report

Google Forms