DATA PRIVACY CONSENT FORM
I Jeyren Bungor Agsao, of legal age, Filipino (citizenship), a job {applicant / employee / consultant) of STAFF
SEARCH ASIA SERVICE COOPERATIVE do hereby voluntarily and knowingly state that:
CONSENT TO DATA PROFESSING: thereby freely, voluntarily and knowingly give my consent to STAFF SEARCH ASIA
SERVICE COOPERATIVE, including its affiliates, departments and divisions, such as but not limited to Human Resources
and Administration, Medical Information Technology, Legal, Tax, Finance, Treasury and Accounting, including their
authorized personnel and/or representative ("personal information personnel"), to collect, store, access, verify, investigate,
dispose and/or process in any way, means or method, whether manually, electronically or automatically, my persona
information or any information or data necessary for the purposes of, and in the course of my job application, employment or
any contractual relationship with the Cooperative, or termination or cessation of such job application, employment or
contractual relationship, hereinafter collectively referred to as the "Purposes", including but not limited to carrying out data
analytics, management, profiling, manual or automated decision-making and any activity in furtherance of the Purposes.
DATA SHARING: I freely, voluntarily and knowingly grant my express, unconditional, voluntary and informed consent to, and
hereby authorize, the Cooperative, including its personal information personnel/processor (ie. HRIS Officer), to share,
transmit, or transfer my personal information to the parent company/Cooperative, subsidiaries and affiliates of the
cooperative (collectively referred to as “Cooperative Affiliates” to act as personal information controller and/or personal
Information processor and lo sub-contract or outsource the processing of my personal information to third parties acting as
personal information processors, for and on behalf of the Cooperative ("external service providers" for the above mentioned
Purposes. I likewise hereby authorize and give my consent to the said Cooperative Affiliates and external service providers
to collect and process my personal information for the abovementioned purposes.
Further, I hereby give and grant my express, and informed consent to the Cooperative, including its personal information
personnel/processors, to share, transmit, disclose and transfer my personal information to the government, its branches,
agencies and/or instrumentalities, for purposes of complying with the Cooperative's mandatory reportorial requirements
provided by law and/or regulations, such as but not limited to matters relating to taxation, or those which may be required by
reason of my employment (or contractual relations) with the Cooperative.
CONFIDENTIALITY: In the event that l come across, learn, receive or gain access to personal information of individuals or
confidential information of the cooperative Affiliates, such as nit limited to, clients and supplier and data, financial condition
and other information related to finances, business operation and methods of operation, trade secrets and pricing structures,
personnel and other information, which ought to reasonably be treated al confidential, I hereby undertake that I shall not, at
any time during the course of, or after the termination of my employment, divulge such information to any person not
authorized to receive them nor use the same for any purpose other than that required by the nature of my position or by law.
DISCLOSURES: All my personal information or any information stated, indicated or contained in my application/ Personal Data
Sheet/ General Information Sheet/ Resume, including all requirements/documents which I submitted to the Cooperative,
which is generally made known or disclosed by me or any other third party through social media and other means, I hereby
acknowledge that I am solely responsible for the consequences of such disclosure, transfer and sharing of said information
or data. Thus, I hereby hold the Cooperative free and harmless from suits in connection with, or arising from privacy breach
of my personal data.
I hereby knowingly and voluntarily acknowledge the due execution, validity and effectivity of this Form. I hereby knowingly
and voluntarily acknowledge and confirm that I have been duly informed of my rights under the law with respect to my
personal information as well as of the Purposes of the processing, sharing, transmittal or transferring, or the subcontracting
or outsourcing of the collection and processing of my personal Information prior to the execution of this Form and hereby
confirm that I have executed the same of my own volition and free will.
Aparri Cagayan Valley City,_Phillipines
Jeyren Bungor Agsao
(Complete Name and Signature of Applicant/Employee/Consultant)
Date: 09-23-23
