CONSENT FORM FOR COLLECTION AND PROCESSING OF PERSONAL DATA

I, [Full Name of Farmer], residing at [Address of Farmer], hereby acknowledge and consent to the Local Government Unit of Manolo Fortich (hereinafter referred to as "LGU") collecting and processing my personal data in accordance with the provisions of the Data Privacy Act of 2012 (Republic Act No. 10173) and its implementing rules and regulations.

1. Purpose of Data Collection

The LGU collects and processes personal data for the purpose of establishing and maintaining the Registry of Farmers in Manolo Fortich. The data collected will be used to facilitate communication, provide assistance, and offer relevant programs, services, and benefits to farmers.

2. Personal Data to be Collected

The LGU may collect the following personal data:

• Full Name
• Contact Information (Phone Number, Email Address, etc.)
• Address
• Identification Information (ID number, TIN, etc.)
• Farming-related Information (Crops grown, farming practices, etc.)
• Other relevant information required for the purposes mentioned above.

3. Data Storage and Security

The LGU is committed to ensuring the security and confidentiality of the personal data collected. Appropriate technical, organizational, and physical measures will be implemented to protect against unauthorized access, disclosure, alteration, or destruction of personal data.

4. Data Sharing and Disclosure

The LGU may share personal data with authorized personnel or third parties when necessary for the fulfillment of the stated purposes, provided that appropriate data privacy safeguards are in place.

5. Data Retention

The LGU will retain personal data for as long as necessary to fulfill the purposes mentioned above, or as required by law and regulations.

6. Rights of Data Subjects

As a data subject, I understand that I have the right to access, correct, update, or request the deletion of my personal data held by the LGU. I can exercise these rights by contacting the LGU's designated Data Privacy Officer.

7. Consent Withdrawal

I understand that I have the right to withdraw my consent for the collection and processing of my personal data at any time, subject to legal and contractual restrictions. However, this withdrawal of consent may limit the LGU's ability to provide certain services or benefits.

I have read and understood this Consent Form, and I willingly give my consent to the Local Government Unit of Manolo Fortich to collect and process my personal data in accordance with the above-stated terms and conditions.