GENERAL ASSEMBLY FORM

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For participant's basic information

First, Middle, Last Name *

Mobile No. *

FB ID or Messenger ID *

Email Address *

Present Address *

Permanent Address *

Date of Birth *

Date

Civil Status *

Occupation

Educational Attainment *

School Last Attended *

Religion *

Church Affiliation *

Hobbies and Interest *

Skills *

I certify that the information I have provided is true, correct, and complete. I hereby authorize REVIVED STUDENT OUTREACH (a.k.a. RSO) to collect and process the data indicated herein for the purpose of any participations on matters related to the vision, mission, goal and purpose of RSO. I understand that my personal information is protected by RA 10173, Data Privacy Act of 2021, and that I am required to provide truthful information. *

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