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    Parents Permit Waiver Attachement 2024

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    lesterepsor27

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    © All Rights Reserved
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    Parents Permit Waiver Attachement 2024

    Uploaded by

    lesterepsor27
    3 views2 pages

    Original Title

    PARENTS-PERMIT-WAIVER-ATTACHEMENT-2024 (3)

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    3 views2 pages

    Parents Permit Waiver Attachement 2024

    Uploaded by

    lesterepsor27

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    EASTERN VISAYAS STATE UNIVERSITY

    Tacloban City
    Control No. EVSU-SASO-F-026
    Title of Form: Parent’s Permit Revision No. 01
    Date November 6, 2019

    Date:

    We/I hereby grant permission to our daughter/son to participate in the


    to be held at on

    We/I fully understand that all the necessary precautions will be taken into consideration to ensure safety and well-being of my /
    our child for the duration of the said activity. However, we/I cannot hold the chaperon or instruction or companion of the school
    responsibility for any incident or unforeseen circumstances that may happen beyond control.

    Parents / Authorized Guardian

    I hereby certify that the signature that appears above is therefore genuine

    ___MARY ANN A. MANABAT_____ __________________________________________________


    Signature over Printed name of the Adviser Signature over Printed Name of the Student

    Recommending Approval:

    DR. THEA G. GALOS JOVITO B. MADEJA, Ph.D.


    Signature over Printed Name of the Dept., Head Signature over Printed Name of the College Dean

    Approved:

    ELIDITHA EASTER H. GERVACIO, MAIS


    Head, Student Affairs Office

    ACKNOWLEDGEMENT

    Republic of the Philippines)


    City of Tacloban ) SS.

    SUBSCRIBED AND SWORN to before this day of , 20


    , Philippines.
    EASTERN VISAYAS STATE UNIVERSITY
    Tacloban City
    Control No. EVSU-SASO-F-122
    Title of Form: Student Waiver Revision No. 00
    Date March 09, 2023

    Date:

    Name of Activity STUDENTS INTERN DEPLOYMENT


    Type of Activity FS1 & FS2 DEPLOYMENT
    Place of the Activity
    Date/s of Activity OCT. 17 - DEC. 5 / OCT. 18 – DEC. 6

    I hereby grant permission to my son/daughter to participate the above mentioned activity.


    I fully understand that all the necessary precautions will be taken into consideration to ensure the safety and
    wellbeing of my son/daughter for the duration at the said activity. However, I cannot hold the
    chaperon/instruction/companion at the school responsible for any on toward incident or unforeseen event that
    may happen beyond control I hereby release and discharge the above named sponsor from all liability arising
    out of or in connection with the Above-describe activity.

    Name of student participant

    I/WE HEREBY AGREE that the student participant will comply with all of the above statements listed.

    Signature over Printed name of the Parents Signature over Printed name of the Student

    Recommending Approval:

    JULINITO S. SANGUTAN JOVITO B. MADEJA Ph.D


    Signature over Printed name of the Head, Field Study Signature over Printed name of the College
    and Student Teaching Department Dean

    Approved

    Director, Student Affairs & Services Office

    Student Address: Student


    Contact Number:

    In event of illness or accident, please notify:


    Name: Relationship to Student:
    Address:
    Contact Number:

    ACKNOWLEDGEMENT

    Republic of the Philippine) City of Tacloban ) SS.


    SUBSCRIBE AND SWORN before me this
    20 at Philippines.

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