CBA DAYS 2024 Affidavit
CBA DAYS 2024 Affidavit
CBA DAYS 2024 Affidavit
Name of teacher / professionals: MS. ELOUIS TEJADA AND SIR ERIK LEGASPI
2. RULES AND REQUIREMENTS. I agree to abide by all the applicable rules and
requirements of UCB and the site of the Off-Campus Activity.
I likewise commit to abide by the health protocols that may issue by UCB, the site of the
Off-Campus Activity, and the national and local governments to prevent the transmission
of SARS-CoV-2/COVID-19.
I hereby sign this Affidavit of Declaration and Undertaking freely and voluntarily without any
inducement and wish full intention to be bound by its terms.
_____________________________________ ____________________________________
Parent’s Signature over Printed Name Student’s Signature over Printed Name Valid
Government ID No.________________ School ID No.________________________
(Please attach photocopy of valid government ID) (Please attach photocopy of School ID)
Noted by:
______________________________________________________
Adviser’s/Dean’s/Department Head’s Signature over Printed Name
Valid Government ID No.
(Please attached photocopy of valid government ID)
SUBSCRIBED AND SWORN to before me on the date and place above written, affiants
exhibiting to me their competent evidence of identity.
NOTE: Reproduce at least (4) copies of this Affidavit and affix the original signature on each copy.