This Agreement sets out the terms and conditions pursuant to which the Local Governament Unit of San Simon may collect, handle, disclose, use of otherwise process
any personal information about me in accordance with all applicable laws, rules and regulations of the Republic of the Philippines, including, but not limited to,
the Data Privacy Act of 2012 (Republic Act No. 10173) and its Implementing rules and Regulations (IRR).
In the course of its business operations and compliance with applicable laws, rules and regulations, LGU-San Simon shall have access to personal, sensitive and
privileged information, not generally known to others.
I confirm that I am aware that under the Data Privacy Act, I have (a) the right to withdraw to consent hereby given or to object to processing of my personal
information provided there is no object legal ground or overriding legitimate interest for the processing thereof; (b) right to reasonable access, (c) right to
rectify, and (d) right to ensure or blocking of my personal information subject, however, to the conditions for the legitimate exercise of the said rights under
to the Data Privacy Act and its IRR.