Please read and agree to the following declarations before submitting your application.
Application Declaration
I hereby certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that:
Submission of this application does not guarantee approval, financial assistance, benefits, or service delivery.
FCOA Inc. primarily facilitates community services, resource mobilization, coordination, and referrals.
Government agencies, private institutions, healthcare providers, donors, and other partner organizations may impose their own eligibility requirements, assessment procedures, documentary requirements, funding limitations, and approval processes.
FCOA Inc. may contact me to validate the information provided and may request additional documents when necessary.
Providing false, misleading, fraudulent, or altered information may result in denial, cancellation, or appropriate action under applicable policies and laws.
I agree to comply with FCOA Inc. policies, Code of Ethics, service guidelines, and applicable program requirements.
Yes, I understand
Data Privacy Consent
I understand that FCOA Inc. collects and processes my personal information for legitimate organizational purposes, including membership administration, service application processing, verification, communication, referral, program coordination, monitoring, reporting, and other purposes authorized by applicable policies and law.
I understand that information may be shared, when necessary and legally permitted, with the appropriate government agency, LGU, healthcare institution, donor, corporate partner, NGO, or other service provider for the purpose of evaluating or processing my request.
I understand that FCOA Inc. commits to protecting personal information in accordance with the Data Privacy Act of 2012 (Republic Act No. 10173) and applicable privacy requirements.
I AGREE to the collection and processing of my personal information for the purposes stated above.
I DO NOT AGREE to the processing of my information.
(Please note that refusal to provide necessary information may prevent FCOA Inc. from processing certain services or referrals.)