AFFIDAVIT OF LOSS (SENIOR CITIZEN)

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CITY ADMINISTRATOR OFFICE AND OFFICE OF THE SENIOR CITIZEN OF GENERAL TRIAS (Data Privacy Statement)

In compliance with the Data Privacy Act (DPA) of 2012; and its Implementing Rules & Regulations (IRR). I allow CITY ADMINISTRATOR OFFICE AND OFFICE OF THE SENIOR CITIZEN OF GENERAL TRIAS, its subsidiaries, affiliates, and their authorized representatives to collect, transfer, share, retain & use my personal information for health services.

I accept and agree to the Privacy Statement (http://generaltrias.gov.ph).

By clicking "YES", you allow City Administrator Office to collect you personal information and use it appropriately on your desire transaction. *

YES

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