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I hereby agree to answer for any damage that he may cause or suffer , and /
or liability that he may incur in connection with the said Practicum/ OJT and hereby absolve
South East College, Ordero Province, its officials or employees, for any such damage or liability.
________________
Father
____________________
(Form 4)
WAIVER
The College of ____________ of (Name of School), (City or District), has requested this waiverin connecti
on with its On-The-
Job Training (OJT) Program offered this __ Semester of SY_____ - _____ and which is accepted and confi
rmed. The student-trainee,
together with his / her parents or judicially appointed guardian acknowledge that the permissiongranted
to him is made subject to the condition, which he / she hereby accepts and agrees to, thatthe university
will not assume any responsibility whatsoever for any injury or accident whichmay happen to him withi
n or outside the premises of the project area during the period of saidprogram. It is understood that the
re is no employer-employee relationship between theuniversity and the student-
participant.This waiver will be in effect for the duration of
________________ to ________________
(theduration of this Program).Done this _____ day of ________________ (Year), in the (City or District).
Anthony A. Arcellana
to go ona practicum (
on-the-job training
until
at
in partialfulfilment of the requirements for the degree in Bachelor of Science in Electronicsand Communi
cations Engineering.It is understood that he abides by the rules and regulations that may beimposed by t
he Supervisor/Staff-in-
Charge for his welfare and safety.I fully agree to waive any responsibility on the part of De La SalleUniver
sity,
, and/or the representative/s, in case of anyuntoward incident that may happen to my son during the du
ration of the practicum.Ernesto C. ArcellanaAnthony A. ArcellanaLot 19, Block 6, Aquarius Street, TS Cruz
Subdivision, Zabarte Avenue, Novaliches, Quezon City419-9425
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