Learning Distance Modality, Assignments of Family and Consumer Science

Download Learning Distance Modality and more Assignments Family and Consumer Science in PDF only on Docsity! Annex "A" [Form 1) APPLICATION FOR SUBSIDY OR ALLOWANCE1 (under Section 4(n) of RA 11494 otlerwise known as the "Bayanihan to Recover as One Act") i. This form and all other forms attached to this Implementing Guidelines (lG) under annexes " A" to "8" shall be considered as public and/or official documents. As such, willfully, unlawfully, and knowingly making untruthful statements or falsehoods upon material matiers required by this form in connection with your application for subsidies and allowances under Section 4(n) of Republic Act No. 11494 may make vou liable to prosecution for falsification of documents or use of falsified documents under Article 172 of the Revised Penal Code. Page 114 1. Choose type ofgrant: tr Subsidy (for unpaid tuition) E Allowance If subsidy for unpaid tuition, amount of claim? school Year (SY) with unpaid tuition: ! Last School Year ISY 20L9-2020) E Current School Year ISY 2020-202L) Information about the student applicant's current school this year ISY 2020'2021) Is the student applicant currently enrolled? tr Yes tr No Php 2 3. Information about the student applicant's school last year (SY 2019-2020) Name of the student applicant's school last School Year (SY) 20L9-2O2O: Type ofschool: tr Public EIPrivate Last School Year Grade Level (for SY 2OL9-2O2O): If yes, name of school: Type ofschool: Current Grade Level this School Year (sY 2020-2027): If you know, is the school of the student applicant last year still operational this SchoolYear ISY 2O2O-2O21)? E Yes tr Public ! Private trNo E Not sure I. PRELIMINARY QUESTIONS TO DETERMINE STUDENT APPLICANT'S PRIORITY tEVEt AS A GRANTEE/BENEFICIARY Learner Reference Number [LRN) Last Name First Name Middle Name Date of BirthSuffix [i.e., Jr., III) Place of Birth Gender trMale !Female Nationality tr Filipino tr Others (Specify) Barangay/DistrictStreet Address ProvinceMunicipality/City Mobile/Landline No.Zip Code 1. Does the student applicant and/or the student applicant's family live in a gated condominium, community, or subdivision? 2. If yes, does the student applicant and/or the student applicant's family live in a gated condominium, community, or subdivision considered as a resettlement area, or socialized housing community as defined under RA No. 7279, otherwise known as the "Urban Development and Housing Act of L992?" 3. Does the student applicant and/or the student applicant's family own a four-wheel vehicle that is not considered a Public Utility Vehicles [PUVs) granted with franchise by the Land Transportation Franchising and Regulatory Board ILTFRB)? nYes trNo EYes trNo EYes trNo Annex "A" fForm 1) Page 214 In. aIIDnE$S/e{lilTAC? AND OTIIER Df,TAIL$,t)$ ?IlB STIJDENT ATPLICANT . TO DETHRMINN EilGIBItr"ITY Annex "B" (Form 2) PARENT/GUARDIAN'S CONSENT1 (to the filing of Application to Receive subsidies or Allowances under section 4(n) ofRA 11494 otherwise known as the "Bayanihan to Recover as One Acf') parent/legal guardian of (Signature over printed name of the Parent/Guardian) (Rela tion ship to Student Appl icant) This is a REQUIRED form or document for student applionts who are below 18 years old at the time ofthe submission ofthe application. Consistent with ttA 10173 or the Data Privacy Act of 2012, all responses to this form shall be treated with strict confidentiality and shall be processed or used for the purpose of determining the eligibility ofthe applicant for subsidy or allowance under Section 4(nl of RA 71494. This formand all other formsattached tothis Implementing cuidelines (lG) underannexes "A" to "E" shall be considered as publicand/or official documents. As such, willfully, unlawfully, and knowingly making untruthful statements or falsehoods upon material rnatters required by this form in connection with your application for subsidies and allowances under Section 4(n) ofRepublic Act No. 11494 may make vou liahle to nrosecution for falsification ofdocuments or use offalsilied documents under Article 172 ofthe Revised Penal Code. Page 111 (Name of Porent or Guardian) (@withLearner,sReferenceNumber(LRN)-dohereby give my consent to the filing ofapplication for the grant of subsidy or allowance in favor of my said child under Section 4(nl ofRA No. 11494 otherwise known as the "Bayanihan to Recover as One Act." Date signed : I SELF.CERTIFICATIONl (in connection with the Application for Subsidy or Allowance under Section 4(n) of RA 11494 otherwise known as the "Bayanihan to Recover as One Act") PART 1 with the consent of my (name of Student Applicant) parent/guardian do hereby (name of Parent/Guardian), certify, the following: 1J my parent/guardian lost employment due to work stoppage or closure of establishment; 2) my family is not included under the Listahanan of the Department of Social Welfare and Development IDSWDJ; and 3) I am not a grantee ofthe Education Service Contracting (ESC) program or the Senior High School Voucher Program ISHS VPJ of the Department of Education (DepEdJ. PART 2 I further certify that I belong to a low-income household that does not: 1) live in a gated condominium, community, and subdivision; OR, if living in a gated condominium, community, or subdivision, it may be considered as a resettlement area, or socialized housing community as defined under RA No.7279, otherwise known as the "Urban Development and Housing Act of 1992"; 2J have a four-wheel vehicle, except Public Utility Vehicles (PUVsJ granted with franchise by the Land Transportation Franchising and Regulatory Board [LTFRB); and 3) have a family member working in government (national or local) under an employment contract, whether occupying a plantilla position or under a service contract. I (signoture of Student Applicant over printed ndme) (Signature of Parent/Guordian over printed name) Annex "C" (Form 3) Issued this - day of ----202L at -=---- Philippines' Annex "D" (Form 4) DATA PRIVACY NOTICE 1 (in compliance with the provisions of Republic Act No. 10173, otherwise known as the "Data Privacy Act of 2O72" in relation to the Application for Subsidy or Allowance under Section 4(n) of RA 11494 otherwise known as the "Bayanihan to Recover as One Act") 1. Service Description Republic Act No. 77494 (RA11494), otherwise known as the "Bayanihan to Recover as One Act", or the Bayanihan 2 Act, provides for COVID-19 response and recovery interventions, such as mechanisms to further reduce the impact of COVID-1g on the socio-economic well-being of Filipinos through the provision ofassistance, subsidies, allowances, and other forms of socio-economic relief. Section 4(n) of the Bayanihan 2 Act mandates the provision of subsidies and allowances to qualified students in private and public elementary and secondary education whose families are now facing financial difficulties brought about by work stoppage and closure of establishments due to the Community Quarantine (CQ), and neither part of the Listahanan of the Department of Social Welfare and Development (DSWDJ, nor covered under the Education Service Contracting (ESC) Program, or the Senior High School Voucher Program (SHS VPJ as provided in RA Nos.8545 and 10533, respectively. 2, PEAC as Personal Information Processor ln carrying out the implementation and management ofthe BBE applications, PEAC acts as a Personal Information Processor as defined under RA 10173, otherwise known as the Data Privacy Act (DPA) of 2012. Thus, under Sec. 3(i) ofthe DPA, Personal Information Processor (PIP) refers to any natural or juridical person qualified to act as such under this Act to whom a personal information controller may outsource the processing of personal data pertaining to a data subject. 3. Personal/Sensitive Personal Information Collected DepEd/PEAC collects the following information or details from applicants under annexes "A","8","C", and "E": 3.1.Annex "A", Form 1 (APPLICATION F0R SUBSIDY OR ALLOWANCE) 3.1.1. Preliminary Questions to Determine Priority Level of Student Applicant 3.1.2. About the Student Applicant 3.1.3. Address/Contact and other Details to Determine the Eligibility ofthe Student Applicant 3.1.4. About Members of Family Household living with the Student Applicant 3.1.5. About the School ofthe Student Applicant 3.2.Annex "B", Form 2 (PARENT/GUARDIAN'S CONSENTJ 3.2.1. Name of Parent or Guardian 3.2.2. Relationship ofsignatory to Student Applicant 3.2.3. Name of Child/Qualified Student Beneficiary 3.2.4. Learner's Reference Number ILRN) 3.3.Annex "C", Form 3 (SELF-CERTIFICATION) 3.3.1 Name of Student Applicant 3.3.2 Name of Parent or Guardian and relationship of signatory to Student Applicant This form and all other forms attached to this Implementing Guidelines (lG) underannexes "A" to "E" shall be considered as public and/orofficial documents. As such, willfully, unlawfully, and knowinglymaking untruthful statements or falsehoods uport material matters required by this form in connection with yourapplication for subsidies and allowances under Section 4(n) ofRepublic Act No. 11494 mav make you liable to orosecution for falsification ofdocuments or use offalsilied documents under Article 172 ofthe Revised Penal Code. Page 113 The Private Education Assistance Committee (PEACJ has been contracted by the Department of Education (DepEdJ to facilitate the distribution ofthe subsidies to qualified students in Baynihan 2 for Basic Education (BBE) Participating Schools and allowances to qualified students in private basic education students.