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School Concern Report Form
An concern report form for our department and institute which contains concern related questions.
10
Questions
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1
iTAM CONCERNS
WE CARE FOR YOU!
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2
Data Privacy Act
*
This field is required.
This tracing system is hereby adopted in compliance with Republic Act No. 10173 or the Data Privacy Act of 2012 (DPA), its Implementing Rules and Regulations, and other relevant policies, including issuance of the National Privacy Commission. The Computer Engineering Organization respect and value your data privacy rights, and makes sure that all personal data collected from you, our clients and customers, are processed in adherence to the general principles of transparency, legitimate purpose, and proportionality. CpEO will be collecting your information that will be used in sending the link for the student assistance survey. Your Personal Information is limited on these purposes only. CpEO will NEVER provide your personal information to third parties for any other purpose.
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NO
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3
Student Name
This Field is Optional
First Name
Last Name
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4
Student Number
This Field is Optional
e.g. 202012340
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5
Email
*
This field is required.
For Contact Use
example@example.com
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6
Date
*
This field is required.
/
Date
Month
Day
Year
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7
Department
*
This field is required.
Accounting/Finance
Computer Engineering
Admission and External Relations
Computer Services
Community Extension Service Unit
Registrar
MPS
HSC
Computer Science
Electrical & Electronics Engineering
Information Technology
Other
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8
Describe the incident with as much detail as possible
*
This field is required.
We care for you iTam,type your concerns and we will do our best to solve it.
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9
I as a student of FEU Institute of Technology, pledge to exercise integrity and honesty while I fill out this concern form. I consider it dishonest to ask for or give false information in this form.
FULL NAME HERE
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10
Signature:
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