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The applicant and the parent/legal guardian/spouse certify that submitted information is true and complete, and acknowledge that any misinformation or withholding of information will automatically disqualify them. The signatories authorize background checks on socio-economic status and, if needed, a visit to the family dwelling. 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Any misinformation, misrepresentation or withholding of information will automatically disqualify me/our son/daughter/my spouse from the Department of Science and Technology-Science Education Institute (DOST-SEI) Scholarship Program. Weare also willing to refund all the financial benefits received plus the appropriate interest if such misinformation is discovered after our child/my spouse accepted the award.\u003Cbr>In connection with this application for scholarship, we hereby authorize the DOST-SEI designated representative to conduct a background check on our socio-economic status and to visit our family dwelling, if necessary.\u003Cbr>Moreover, we hereby express our consent for the DOST-SEI to collect, record, organize, update or modify, retrieve, consult, use, consolidate, block, erase , or destroy our personal data as part of our information. We hereby affirm our right to be informed, to object to processing, to access and rectify, to suspend or withdraw our personal data, and to be indemnified in case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, the Data Privacy Act of 2012 , and its corresponding Implementing Rules and Regulations.\u003Cbr>Certified by (must be Applicant):\u003Cbr>Full Name:  \u003Cbr>Signature:  \u003Cbr>Date Signed:  \u003Cbr>Certified by (must be Parent/Legal Guardian/Spouse):\u003Cbr>Full Name:   Relationship\u003Cbr>to Applicant:  \u003Cbr>Signature:  \u003Cbr>Date Signed:  \u003Cbr>NOTE: If this form will be signed by a person identified as NOT the applicant’s parent/spouse, the applicant must indicate a legal guardian in the E-Application System and must submit a notarized Affidavit of Guardianship bearing the name of the signatory as the applicant’s legal guardian.\u003Cbr>Failure to properly complete the form (including the applicant’s/parent’s/legal guardian’s/spouse’s name, relationship to applicant, signature, and date signed) will result in the disqualification of the application for the scholarship. |","cbCaicuO4GHZ2Rtc","https://ap.wps.com/l/cbCaicuO4GHZ2Rtc","pdf",183791,"English","# Signed Declaration\n## Applicant certification\n## Parent/Legal Guardian/Spouse certification\n## Authorization and data privacy consent\n## Signature and completion requirements","[{\"question\":\"What happens if incorrect or incomplete information is provided in the application?\",\"answer\":\"Any misinformation, misrepresentation, or withholding of information will automatically disqualify the applicant and the parent/legal guardian/spouse from the DOST-SEI Scholarship Program.\"},{\"question\":\"Who is authorized to conduct checks related to the scholarship application?\",\"answer\":\"The DOST-SEI designated representative is authorized to conduct a background check on socio-economic status, and may visit the family dwelling if necessary.\"},{\"question\":\"What consent is given regarding personal data processing?\",\"answer\":\"The applicant and parent/legal guardian/spouse consent to the collection, recording, organization, updating, modification, retrieval, consultation, use, consolidation, blocking, erasure, or destruction of personal data as part of the application process, and affirm relevant privacy rights under Republic Act No. 10173.\"}]","DOST-SEI S&T Undergraduate Application Form J - Signed Declaration | PDF",1790044162]