I hereby authorize Metro Pacific Tollways Corporation to collect, use, process, store and dispose the above personal, sensitive and confidential data, covered under the provision of Republic Act No. 10173 or the Data Privacy Act of 2012 for the purpose of Oversize Vehicle Permit Application.

I confirm that I am aware of my rights under Republic Act No. 10173 or the Data Privacy Act of 2012, which include the right to be informed, to withdraw my consent, to rectify, erase and block my personal information. I will immediately inform NLEX Corp. in the event that I choose to exercise any of my rights under the Data Privacy Act of 2012. I understand that NLEX Corp. will treat my personal information with the strictest confidentiality, process personal information only to the extent and only for the period necessary for the purpose stated above, and practice standard security measures to protect my information all in accordance with the data privacy principles.

I certify that all information herein are true and correct to the best of my knowledge and belief. I understand that any misinterpretation or false information contained herein shall be considered sufficient cause for cancellation of my application or grounds for penalties according to the gravity of my violation.