Dile Jamiel Lyca A. New Haf
Dile Jamiel Lyca A. New Haf
Dile Jamiel Lyca A. New Haf
AGE 20 GENDER Female CONTACT NOS. 09278200545 YEAR/SECTION BSN – 4YA-2 COLLEGE/STRAND. BSN
For students in vulnerable group (VG): I fully understand that I must follow the prevailing guidelines prescribed by the
COVID-19
Inter-Agency Task Force for the Management of Emerging Infectious Diseases (IATF).
I attest that all the information given above are true and correct and that I may be held liable for any misinformation
stated herein. I also authorize Our Lady of Fatima University to collect and process data indicated herein for the purpose of
effecting the control of COVID-19 infection and that my personal information are protected by RA.10173 (Data Privacy Act
of 2012) and that I am required by RA.11469 (Bayanihan to Heal as One Act) to provide truthful information.