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CERTIFICATION AND DATA PRIVACY CONSENT*
By completing this form, I hereby certify that the information I have provided is true, correct and complete.
Any false information provided herein will render this application null and void.
I hereby express my consent for the Regulation and Permitting Section, DENR Implementing PENR/CENR Office to collect and process my personal information, record, transmit and store the data provided herein subject to the rules and regulations set by Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012.