FETCHER’S ID FORM
Official Receipt Number: _______________
Parent/s Name: _________________________________ Contact No. ________________ Date applied: ____________
REQUIREMENTS: 1x1 recent photos of all fetchers and students, photocopy of VACCINATION CARD/S of fetcher/s and official receipt.
Rates : Small – ₱ 80.00 Big – ₱ 100.00
FETCHER’S INFORMATION :
Fetcher’s Name : _________________________ Fetcher’s Name : ___________________________
Contact No. _____________________________ Contact No. _______________________________
Relationship to Student/s: __________________ Relationship to Student/s: ___________________
STUDENTS’ INFORMATION :
Student’s Name : _______________ Student’s Name ________________ Student’s Name ________________
Level / Section : _________________ Level / Section : ________________ Level / Section : _______________
Student’s Name : ________________ Student’s Name ______________ Student’s Name ________________
Level / Section : _________________ Level / Section _______________ Level/Section : ________________
TERMS AND CONDITIONS:
1. DLSZ Fetchers’ IDs are valid for one (1) academic year and are non-transferable.
2. The Fetcher’s ID must be visibly worn on campus and presented when asked by any DLSZ personnel.
3. Tampering or improper use of the ID is subject to appropriate sanction.
4. In case of loss, damage and misuse or changes in the fetcher’s information, the ID should be returned or the incident should be reported to the Safety and Security Office for appropriate action.
Updated 7-12-22
1x1 ID photo
1x1 ID Photo
1x1 ID Photo
1x1 ID Photo
1x1 ID Photo
1x1 ID Photo
1x1 ID Photo
1x1 ID Photo
Zobel Confidentiality Notice
Your personal data contained in this form, collected from you with your consent, shall be entered into DLSZ’s system, subject, among others, as to their collection, purposes, usage, sharing, disclosure, retention and disposal, including your rights as the Data Subject (as defined under the Data Privacy Act of 2012) , to the provisions of DLSZ’s Student Data Privacy Statement and Consent Form, to which you agreed and signed, the provisions of the Data Privacy Act of 2012, and the Rules and Regulations of the National Privacy Commission.
DLSZ has installed and implemented in its system the required and appropriate security measures to ensure and maintain the protection, security and confidentiality of your personal data.
FOR SSO STAFF
Processed by : _________________
Date : _____________________
