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Data Privacy Consent Form (RA 10173)

Consent form for collecting personal data: what is collected, why, how long it is kept, who it is shared with, and the person’s rights.

Tool inputs stay in your browser · optional AI search sends your query

Good to know: Under the Data Privacy Act of 2012 (RA 10173), people must be told how their data will be used, and consent must be freely given, specific and informed. Collect only the data you really need. Data subjects can complain to the National Privacy Commission (NPC). Template only — not legal advice, and using it does not create a lawyer–client relationship. For property, large amounts, employment disputes or court matters, have a lawyer review it before signing.

How to use it (step by step)

  1. 1Fill in the boxes. Leave a box empty if you prefer to write it by hand — it becomes a blank line.
  2. 2Check the preview (on the right, or below on a phone). It updates as you type.
  3. 3Press “Download Word” to edit it in Word / Google Docs, or “Download PDF” for a file ready to print or send. Read every line before signing.
  4. 4Sign it (and have it notarized if the “Good to know” box says so). Bring a valid ID to the notary.

Words to know

Chargeback / dispute
When a customer asks their bank to reverse a payment. Too many hurt a business.
App signing / keystore
Every app is signed with a private key (kept in a keystore file). Updates must be signed with the same key, so never lose it.

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