TELL US HOW IT WENT

In accordance with R.A. 10173, also known as the Data Privacy Act of 2012, and its Implementing Rules and Regulations:

I give my consent to the Philippine Energy Research and Policy Institute (PERPI) to collect, store, and use the data from my responses for the purposes outlined in this form.

I confirm that the information I have provided in this form is true and correct.

By giving your consent, you acknowledge and authorize PERPI to:

1. Use your personal data collected through this form for PERPI activities and events.
2. Collect and securely store an online copy of your data.
3. Include your data in written reports that may be submitted to affiliated institutions for activities organized by PERPI.
4. Feature excerpts or summaries of your submitted feedback on the PERPI Facebook page, social media platforms, and during PERPI events.
5. Contact you regarding event updates, feedback, and other related announcements.

I acknowledge that PERPI has taken the necessary precautions to protect my personal data. I may request access to, correction of, or deletion of my data, or withdraw this consent, by contacting PERPI at perpi@up.edu.ph.

NAME OF ATTENDEE / PARTICIPANT *

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