Polytechnic University of The Philippines: Plant Tour Waiver of Liabilities
Polytechnic University of The Philippines: Plant Tour Waiver of Liabilities
Polytechnic University of The Philippines: Plant Tour Waiver of Liabilities
Taguig Campus
General Santos Avenue, Lower Bicutan, Taguig City
Tel Nos:, (02) 8375858-59
Signed this ___ day of __________, 2015 at Polytechnic University of the Philippines,
Taguig Campus. I hereby waive/renounce the right to any claim for compensation or course
of action against PUP Taguig in any case of accident/injury during the duration of the plant
tour.
__________________________________
Name of Student
Witness:
__________________________________
Plant Tour Coordinator
________________________________
Affiant
JURAT
SUBCRIBED AND SWORN to before me this ___ day of February 2014, affiant exhibiting to me
his/her
government
issued
Identification
Card
No.
_____________________
issued
by________________________
with
expiry
date
on
_________________.
(Name of Government Agency)
WITNESS MY HAND AND SEAL on the day first above written.
NOTARY PUBLIC
Doc No.______;
Page No._____;
Book No._____;
Series of 2014