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Dict Application Form

This document is an application form for admission to courses offered by the National ICT Competency Management Service (NCM). It requests personal information such as name, address, contact details, education history, and employment information from applicants. It also specifies the NCM's refund policy, stating that a full refund is available only if a course is cancelled, rescheduled without the applicant's availability, or the applicant defers at least 10 days before the course starts. All information collected will be kept strictly confidential and used only for record keeping purposes.

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Raul Gutierrez
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758 views1 page

Dict Application Form

This document is an application form for admission to courses offered by the National ICT Competency Management Service (NCM). It requests personal information such as name, address, contact details, education history, and employment information from applicants. It also specifies the NCM's refund policy, stating that a full refund is available only if a course is cancelled, rescheduled without the applicant's availability, or the applicant defers at least 10 days before the course starts. All information collected will be kept strictly confidential and used only for record keeping purposes.

Uploaded by

Raul Gutierrez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NCM Form-1

1x1
Photo w/ name
NATIONAL ICT COMPETENCY MANAGEMENT SERVICE Label
(2 copies)

OLD STUDENT NEW STUDENT

COURSE APPLIED
APPLICATION FOR ADMISSION DATE OF APPLICATION
PERSONAL INFORMATION
SURNAME, GIVEN NAME, MIDDLE NAME TELEPHONE NUMBER
Residence ________________
Cellphone ________________
PERMANENT ADDRESS PERSONAL E-MAIL ADDRESS

PLACE OF BIRTH DATE OF BIRTH SEX CIVIL STATUS CITIZENSHIP


Male
Female
HIGHEST EDUCATIONAL ATTAINMENT
SCHOOLS ATTENDED DEGREE RECEIVED HONORS/ DISTINCTION INCLUSIVE YEARS

EMPLOYMENT INFORMATION
COMPANY/AGENCY
CATEGORY Gov't Private

OFFICE ADDRESS TEL./FAX NO. EMAIL ADDRESS

DESIGNATION Programming Course(s) Handled Number of Semesters that you have been teaching the Course
____________________ ____________________
------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (PLEASE DO NOT DETACH)- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -

For use of the NCM Registrar : For use of the DICT Cashier's Office:

Accommodated by: ________________________________ Mode of Payment: Check [ ] Cash [ ]


Amount Paid: ____________ OR No.: ____________
Approved by: ________________________________ Payment Received by: __________________________
Date : __________________________

IMPORTANT:

Per Section 2 (Declaration of Policy) of the Data Privacy Act of 2012, it is the policy of the State to protect the fundamental human right of privacy, of communication
while ensuring free flow of information to promote innovation and growth. The State recognizes the vital role of information and communications technology in
nation-building and its inherent obligation to ensure that personal information in information and communications systems in the government and in the private
sector are secured and protected.

As such, information collected from this form shall be held in strict confidence and shall only be used solely for records keeping purposes.
Falsification of any of the above information will automatically bar applicant from any NCM Course. A refund of 100% shall apply only in any of the foregoing cases: 1)
If the course is cancelled, 2) If the course is re-scheduled and the participant cannot attend the new schedule, or 3) If the participant defers not later than ten (10)
working days before the course starts. Should there be any other case not mentioned above, refund is not applicable.
CONFORME:
__________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - cut here (PARTICIPANT'S COPY)- - ------------------------------

A refund of 100% shall apply only in any of the foregoing cases:


1) If the course is cancelled,
2) If the course is re-scheduled and the participant cannot attend the new schedule, or
3) If the participant defers not later than ten (10) working days before the course starts. Should there be any other case not
mentioned above, refund is not applicable.

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