Domestic Project Information

CIAP POCB form for domestic project information

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: PHILIPPINE OVERSEAS CONSTRUCTION BOARD
5/F Executive Building Center, 369 Gil J. Puyat Ave. cor. Makati Ave., Makati City
Telephone Nos. 896-1833/896-4569; Email: POCB@dti.gov.ph

DOMESTIC PROJECT INFORMATION
POCB-F-SVD-003b || Rev. 0 || 19/11/2018
IMPORTANT: PLEASE FILL-UP THIS FORM STRICTLY IN ACCORDANCE WITH INSTRUCTIONS AT THE BACK. USE ADDITIONAL SHEETS IF NECESSARY.

NAME OF FIRM:

POCB REGISTRATION NO.:
DATE FILLED:
GENDER: ☐MALE ☐FEMALE
☐PWD ☐ SENIOR CITIZEN

NAME OF PERSON FILLING THIS FORM:
OFFICIAL DESIGNATION:

PROJECT TITLE

LOCATION

OWNER/CLIENT

PROJECT TYPE

EXTENT OF
INVOLVEMENT

AMOUNT OF
CONTRACT
(000 PESOS)

DATE COMPLETED/

DATE STARTED

SCHEDULED DATE OF
COMPLETION

STATUS
SCHEDULED
DATE OF
COMPLETION

DATE
COMPLETED

In accordance with the Data Privacy Act of 2012 (Republic Act No. 10173), the Philippine Overseas Construction Board (POCB) i s required to inform you that the personal information that you will supply below shall be promptly processed
for such purposes as are necessary to process your application. The information that you will supply through this form shall be collected, recorded, organized and stored into a database, subject to updating or modification to maintain data
accuracy, and retrieval, use and consolidation as necessary for the purposes related to the mandate of POCB. Recipients of the personal information shall be limit ed to CIAP-POCB with office address 5/F Executive Building Center, 369 Gil J.
Puyat Ave. cor. Makati Ave., Makati City. The information processed will be held by CIAP-POCS until such time as necessary. As data subject, you have the right to access and request for removal of your personal information, make
corrections to the same, and lodge a complaint before the National Privacy Commission for any violation of the Data Privacy Act. You agree to grant full rights to use the images resulting from the photogra phy/video filming obtained from

PHILIPPINE OVERSEAS CONSTRUCTION BOARD
5/F Executive Building Center, 369 Gil J. Puyat Ave. cor. Makati Ave., Makati City
Telephone Nos. 896-1833/896-4569; Email: POCB@dti.gov.ph

DOMESTIC PROJECT INFORMATION
POCB-F-SVD-003b || Rev. 0 || 19/11/2018
any POCB, CIAP, DTI event coverage, and any reproductions or adaptations of the images for publicity or other purposes to help achieve the organization’s aims. This might include (but is not limited to), the right to use the m in their printed
and online publicity, social media and press releases.