I affirm and say, THAT:
1. The information given in this form is true, complete, and accurate. I am fully aware that I can be held criminally and administratively liable for any misdeclaration, or intentional omission made herein, pursuant to Republic Act No. 10173 or the “Data Privacy Act of 2012” and the applicable laws and regulations.
2. I authorize Netify to collect and to process the data indicated herein for the purpose of my Netify Service application. I understand that my personal information is protected by R.A 10173, Data Privacy Act of 2012 to provide truthful information. And that the disclosure and sharing shall only be upon my consent, or as required by law, with relevant private or public persons, offices, or entities.
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