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Republic of the Philippines)

City of Tagbilaran ) S.S.

AFFIDAVIT OF UNDERTAKING AND WAIVER

I, ROSELDA S. MALIZA, Filipino, of legal age, single and a resident of Sta.


Cruz, Sierra Bullones Bohol, Philippines, after having been sworn to in accordance with
law, hereby depose and say:

1. That I am an incoming first year college at Philippine Maritime Institute (PMI)


College, Bohol this 1st Semester S.Y. 2018-2019 taking up Bachelor of Science in
Marine Transportation;

2. That upon interview with the Executive Officer, I revealed to him that I have a
tattoo on my upper left chest;

3. That I understand that the tattoo might affect my future employability;

4. That I am hereby waiving any and all obligations of PMI Colleges Bohol
relative to my employability as I am the only one responsible for my tattoo;

5. That I am executing this affidavit of undertaking freely and voluntarily to attest


the truth of the foregoing statements and to support for whatever legal intents and
purposes this may serve;

IN WITNESS WHEREOF, I have hereunto affixed signature this 21 st day of June


2018 at Tagbilaran City, Bohol, Philippines.

ROSELDA S. MALIZA
Affiant
CRN: 0111-7978243-6
Issued by SSS-UMID

SUBSCRIBED AND SWORN to before me this 21 st day of June 2018 at


Tagbilaran City, Bohol, Philippines.

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