I certify that the above history is true to the best of my knowledge. I have fully disclosed all medical conditions that may affect my performance as a student of the school. I also understand that the School Health Services and the Guidance Office will not be liable to any untoward incident that may arise due to the deferral of the psychological service recommendation, physical examination and Chest X-ray.
I of legal age, hereby voluntarily and knowingly authorize St. Dominic College of Asia to collect, process or release my personal and sensitive information that may be used for internal and external school official and legal transactions. I agree on the following conditions:
I have read this form, understood its contents and consent to the collecting, processing and releasing of my personal data. I understand that my consent does not preclude the existence of other criteria for lawful processing of personal data, and does not waive any of my rights under the Data Privacy Act of 2012 and other applicable laws.
St. Dominic College of Asia performs its various roles toward the achievement of its Vision-Mission-Goals as it anchors itself on a four-point set of core values:
S – service , D – dynamism , C – competence , A – accountability ,