The Student Statement Form is a fundamental document used across educational institutions in the Philippines to collect and verify student information and declarations. This form is typically required during enrollment periods, major academic transitions, or when specific student declarations are needed for institutional records. It ensures compliance with Philippine education laws, including RA 10533 and RA 10173, while providing institutions with necessary student information for administrative, academic, and legal purposes. The form typically includes personal information, academic declarations, truth statements, and privacy notices, making it an essential tool for maintaining accurate student records and ensuring regulatory compliance in Philippine educational institutions.
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1. Student Information: Basic personal details including full legal name, student ID number, course/program, year level, and contact information
2. Parent/Guardian Information: Contact details of parents or legal guardians (required for minors and often for all students for emergency contacts)
3. Academic Declaration: Student's declaration regarding academic standing, enrollment status, and any academic commitments
4. Truth and Accuracy Statement: Declaration that all information provided is true and correct, with acknowledgment of consequences for false statements
5. Data Privacy Notice: Statement regarding the collection, use, and protection of personal information in compliance with RA 10173
6. Signature Block: Space for student signature, date, and witness signature if required
1. Medical Information: Section for declaring medical conditions or special needs, used when the institution requires health information
2. Financial Declaration: Statement regarding financial obligations and scholarship status, used for students receiving financial aid or scholarships
3. Disciplinary Record: Declaration of any previous disciplinary actions, used for transfer students or specific institutional requirements
4. Extra-curricular Activities: Section for declaring participation in school activities, used when relevant to program requirements or institutional tracking
5. Special Accommodations: Section for requesting specific accommodations, used when student requires additional support or facilities
1. Schedule A - Supporting Documents Checklist: List of required documents that must be submitted along with the statement form
2. Schedule B - Code of Conduct Agreement: Summary of key student conduct policies that the student acknowledges
3. Schedule C - Emergency Contact Form: Detailed emergency contact information and medical authorization
4. Appendix 1 - Institution-Specific Policies: Summary of relevant institutional policies referenced in the main form
5. Appendix 2 - Privacy Policy Details: Detailed explanation of how student data will be collected, used, and protected
Relevant legal definitions
Clauses
Relevant Industries
Education
Higher Education
Secondary Education
Technical and Vocational Education
Private Education
Public Education
Educational Technology
Educational Administration
Relevant Teams
Admissions
Student Affairs
Registrar
Compliance
Data Protection
Legal
Academic Administration
Student Services
Records Management
Academic Affairs
Relevant Roles
School Registrar
Admissions Officer
Academic Coordinator
Student Affairs Director
Compliance Officer
Data Protection Officer
Education Administrator
Enrollment Manager
Student Services Coordinator
Academic Records Officer
Department Head
School Principal
Dean
Academic Director
Legal Counsel
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