Letter of Undertaking and Waiver (High School) : Family Name, First Name, M.I Nationality City/Address Student Name

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LETTER OF UNDERTAKING AND WAIVER

(High School)

I, _________________________________________________, ___________________, of legal age and residing


Family Name, First Name, M.I Nationality

at ______________________________________________________________________________ hereby state;


City/Address

1. I am the parent or guardian of ____________________________________________________________;


Student Name

2. I am enrolling my child in Grade ____________ at Emilio Aguinaldo College (EAC) - Manila;


Level

3. He/she has graduated/ transferred from____________________________________________________;


Last school attended

4. As of date of this Undertaking, I have not submitted the following admission document(s)/ record(s) of my
child [Please put a check mark ( ) whichever is applicable]:

Form 138/Report Card (1st & 2nd Semester) ESC Certification from HS Principal (for ESC grantee only)

Certificate of Good Moral Character Qualified Voucher Recipient (QVR) Certificate


(for successful SHS Voucher Applicant only)

PSA Birth Certificate Certificate of JHS Completion (for applicant in Grade 11 only)

1 pc. 2x2 colored picture (with white background)

5. I am aware that the aforementioned document(s)/ record(s) is/are requirements for my child acceptance at
EAC, Manila. I am also aware that my child has been provisionally accepted subject to the condition that
the picture or scanned copies of the aforementioned document(s)/ record(s) will be submitted through email
within five (5) working days, and that the original copies will be submitted to the Admissions Office within
thirty (30) working days or as may be further prescribed by the said office.

6. If I fail to submit the aforementioned document(s)/ record(s) to EAC, Manila, I shall give EAC-Manila the
right to withhold my child’s enrollment, or as may be applicable, withhold release of all his/her credentials/
Form 137/ Diploma.

7. In addition, I understand that my child is enrolling at EAC, Manila which is an educational institution where
online teaching is part of the school program. I also understand that online learning program is internet and
WiFi based and will require the availability of electronic gadgets and equipment and the accessibility of the
students to reliable internet connection. EAC, Manila shall not provide the students with the electronic
gadgets and the accessibility to the internet. The availability of such gadgets and accessibility to the internet
shall be for the account of, at the expense of, and the responsibility of the individual student and not by the
school. Consequently, I shall hold EAC, Manila, its officers and staff free and harmless from any liabilities
arising from my child’s lack of gadgets and equipment or access to reliable internet connection in relation
to the online learning program of EAC, Manila.

8. Furthermore, I hereby waive any right of action against EAC, Manila, its affiliates, representatives, agents
and/ or any of its duly constituted officers / employees in the event that my child will not be allowed to
graduate because of my /our failure to submit the original copy of the aforementioned document(s)/
record(s) within the given period and/ or meet the above conditions.

By affixing a check mark beside my name, I hereby expressly agree that I have read the entire content of this
Undertaking and I fully understand its nature and purpose, and I agree to be legally bound by it.

Done this _________ day of __________________, year 20___ in the City of Manila, Philippines.

_______________________________ _______________________________
Name of Student Name of Parent or Guardian

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