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    Nueva Ecija University of Science and Technology: Cabanatuan City, Nueva Ceja, Philippines ISO 9001:2015 CERTIFIED

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    Kei Viena
    This document is a parental consent form for a student at the Nueva Ecija University of Science and Technology to attend face-to-face classes, labs, or shops with minimal on-campus activity. The parent agrees that the student will comply with health and safety protocols like physical distancing, wearing of masks and shields, daily health screening, and understands the risks of in-person instruction. The form must be notarized before the student can participate in limited on-campus instruction.

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    © All Rights Reserved
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    Nueva Ecija University of Science and Technology: Cabanatuan City, Nueva Ceja, Philippines ISO 9001:2015 CERTIFIED

    Uploaded by

    Kei Viena
    53 views1 page
    This document is a parental consent form for a student at the Nueva Ecija University of Science and Technology to attend face-to-face classes, labs, or shops with minimal on-campus activity. The parent agrees that the student will comply with health and safety protocols like physical distancing, wearing of masks and shields, daily health screening, and understands the risks of in-person instruction. The form must be notarized before the student can participate in limited on-campus instruction.

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    COE-parent-consent

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    This document is a parental consent form for a student at the Nueva Ecija University of Science and Technology to attend face-to-face classes, labs, or shops with minimal on-campus activity. The parent agrees that the student will comply with health and safety protocols like physical distancing, wearing of masks and shields, daily health screening, and understands the risks of in-person instruction. The form must be notarized before the student can participate in limited on-campus instruction.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    53 views1 page

    Nueva Ecija University of Science and Technology: Cabanatuan City, Nueva Ceja, Philippines ISO 9001:2015 CERTIFIED

    Uploaded by

    Kei Viena
    This document is a parental consent form for a student at the Nueva Ecija University of Science and Technology to attend face-to-face classes, labs, or shops with minimal on-campus activity. The parent agrees that the student will comply with health and safety protocols like physical distancing, wearing of masks and shields, daily health screening, and understands the risks of in-person instruction. The form must be notarized before the student can participate in limited on-campus instruction.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines

    NUEVA ECIJA UNIVERSITY OF SCIENCE AND


    TECHNOLOGY
    Cabanatuan City, Nueva Ceja, Philippines
    ISO 9001:2015 CERTIFIED

    COLLEGE OF ENGINEERING
    PARENTAL CONSENT FOR FACE-TO-FACE

    I, _______________________________________________, hereby give my permission


    (PARENT/GUARDIAN)
    in favor of ___________________________who is my _________________________________
    (STUDENT) (Relationship to Student)
    to attend the Class-lecture/Quiz/Laboratory/Shop on minimal face-to-face set-up.
    (Please underline your f2f activity, ex. Class-lecture/Quiz/Laboratory/Shop if laboratory).

    I further declare that I fully understand that he/she has to comply with the following
    requirements/obligations in relation to his/her attendance therein:

    a) to comply with all the requirements as maybe prescribed by the DOH, IATF, LGU, CHED
    and NEUST relevant thereto;
    b) to truthfully fill-out all the questions on daily triaging and the NEUST-College of
    Engineering Covid-19 Declaration using Google form every time he/she enter the
    university;
    c) to use appropriate protective gears face mask, face shield (optional or as may be required),
    and bring their own personal hygiene kits;
    d) to strictly observe the 1.5 meters physical distancing and avoid prolonged face to face
    interaction between and among students;
    e) to be a PhilHealth member or a beneficiary of a PhilHealth member; and
    f) to comply with all the guidelines and policies provided by the NEUST-College of
    Engineering and the university.

    I also fully understand the consequences and risks that my child will encounter in minimal
    face-to-face set-up and I hereby declare that I am giving my consent freely and voluntarily in his/her
    favor. I likewise understand that any violation or non-compliance of the above-enumerated
    requirements/obligations would disqualify him/her to participate in the
    Class-lecture/Quiz/Laboratory/Shop on minimal face-to-face set-up.

    IN WITNESS WHEREOF, I hereby affix my signature this _________________, hereat


    _______________________.
    ____________________________________
    Parent/Guardian Name & Signature
    ID No. ______________________________

    SUBSCRIBED AND SWORN to before me this ___________________ hereat


    ____________________. Affiant exhibited to me his/her Identification Card written below his/her
    name and signature.
    Doc No. ______
    Page No. _____
    Book No. _____
    Series of ______
    Note: This form must be completed and signed by a Parent or Guardian duly notarized by a Notary
    Public and shall be returned to NEUST-College of Engineering before the student will be allowed to
    participate in the Class-lecture/Quiz/Laboratory/Shop on minimal face-to-face set-up.

    Transforming Communities through Science and


    Technology

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