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NSTP 2 Parents Consent

The document contains 6 parents' consent forms from Isabela State University allowing 6 students - Joseph P. Gratil, Erica Alejandro, Esperanza Espirida, Ednalyn Dela Cruz, Realyn Guloy, and Angelica Flores - to participate in a community immersion program in Barangay San Fabian, Echague, Isabela as part of their National Service Training Program. The consent forms state that the university will not be held liable for any damages or issues arising from activities outside of or beyond the control of faculty supervision.

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Estrelita Santiago
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270 views6 pages

NSTP 2 Parents Consent

The document contains 6 parents' consent forms from Isabela State University allowing 6 students - Joseph P. Gratil, Erica Alejandro, Esperanza Espirida, Ednalyn Dela Cruz, Realyn Guloy, and Angelica Flores - to participate in a community immersion program in Barangay San Fabian, Echague, Isabela as part of their National Service Training Program. The consent forms state that the university will not be held liable for any damages or issues arising from activities outside of or beyond the control of faculty supervision.

Uploaded by

Estrelita Santiago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

ISABELA STATE UNIVERSITY


Echague, Isabela
COLLEGE OF EDUCATION

PARENTS’ CONSENT

We, Mr. and Mrs.MA VICTORIA V. PANTUAparents of JOSEPH P. GRATIL grant


our permission to our child to conduct Community Immersion at Barangay San Fabian, Echague,
Isabela for Second Semester SY 2020 on days stipulated in their schedule (please refer to
attached schedule) as part of their National Service Training Program (NSTP). In the unlikely
event that the damages and/ or liabilities of whatever nature may arise in connection with the
activity (outside the objectives of the immersion activities or beyond the control of the faculty in
charge), we hold the University, its officers, coordinators and faculty free and harmless of any
damages and liabilities.

MA. VICTORIA V. PANTUA


Printed Name and Signature of the guardian

REPUBLIC OF THE PHILIPPINES )


Province of Isabela ) S. C.
Municipality of ECHAGUE )

SUBSCRIBED AND SWORN before me this ___th day of ________________, 2020


at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No._________as
competent evidence of their identity.

Doc No. _________________ NOTARY PUBLIC


Page No. ________________
Book No. ________________

Series of 20 ___

ISUE-CON-Wai-047
Revision 01
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF EDUCATION

PARENTS’ CONSENT

We, Mr. and Mrs.BENIGNO ALEJANDROparents of ERICA ALEJANDRO grant


our permission to our child to conduct Community Immersion at Barangay San Fabian, Echague,
Isabela for Second Semester SY 2020 on days stipulated in their schedule (please refer to
attached schedule) as part of their National Service Training Program (NSTP). In the unlikely
event that the damages and/ or liabilities of whatever nature may arise in connection with the
activity (outside the objectives of the immersion activities or beyond the control of the faculty in
charge), we hold the University, its officers, coordinators and faculty free and harmless of any
damages and liabilities.

Benigno Alejandro
Printed Name and Signature of father

REPUBLIC OF THE PHILIPPINES )


Province of Isabela ) S. C.
Municipality of ECHAGUE )

SUBSCRIBED AND SWORN before me this ___th day of ________________, 2020


at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No._________as
competent evidence of their identity.

Doc No. _________________ NOTARY PUBLIC


Page No. ________________
Book No. ________________

Series of 20 ___

ISUE-CON-Wai-047
Revision 01
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF EDUCATION

PARENTS’ CONSENT

We, Mr. and Mrs.ALMA ESPIRIDAparents of ESPERANZA ESPIRIDA grant our


permission to our child to conduct Community Immersion at Barangay San Fabian, Echague,
Isabela for Second Semester SY 2020 on days stipulated in their schedule (please refer to
attached schedule) as part of their National Service Training Program (NSTP). In the unlikely
event that the damages and/ or liabilities of whatever nature may arise in connection with the
activity (outside the objectives of the immersion activities or beyond the control of the faculty in
charge), we hold the University, its officers, coordinators and faculty free and harmless of any
damages and liabilities.

ALMA ESPIRIDA
Printed Name and Signature of parent/s

REPUBLIC OF THE PHILIPPINES )


Province of Isabela ) S. C.
Municipality of ECHAGUE )

SUBSCRIBED AND SWORN before me this ___th day of ________________, 2020


at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No._________as
competent evidence of their identity.

Doc No. _________________ NOTARY PUBLIC


Page No. ________________
Book No. ________________

Series of 20 ___

ISUE-CON-Wai-047
Revision 01
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF EDUCATION

PARENTS’ CONSENT

We, Mr. and Mrs.ELDEFONSO DELA CRUZparents of EDNALYN DELA CRUZ


grant our permission to our child to conduct Community Immersion at Barangay San Fabian,
Echague, Isabela for Second Semester SY 2020 on days stipulated in their schedule (please refer
to attached schedule) as part of their National Service Training Program (NSTP). In the
unlikely event that the damages and/ or liabilities of whatever nature may arise in connection
with the activity (outside the objectives of the immersion activities or beyond the control of the
faculty in charge), we hold the University, its officers, coordinators and faculty free and harmless
of any damages and liabilities.

ELDEFONSO DELA CRUZ


Printed Name and Signature of father

REPUBLIC OF THE PHILIPPINES )


Province of Isabela ) S. C.
Municipality of ECHAGUE )

SUBSCRIBED AND SWORN before me this ___th day of ________________, 2020


at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No._________as
competent evidence of their identity.

Doc No. _________________ NOTARY PUBLIC


Page No. ________________
Book No. ________________

Series of 20 ___

ISUE-CON-Wai-047
Revision 01
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF EDUCATION

PARENTS’ CONSENT

We, Mr. and Mrs.MARILOU GULOYparents of REALYN GULOY grant our


permission to our child to conduct Community Immersion at Barangay San Fabian, Echague,
Isabela for Second Semester SY 2020 on days stipulated in their schedule (please refer to
attached schedule) as part of their National Service Training Program (NSTP). In the unlikely
event that the damages and/ or liabilities of whatever nature may arise in connection with the
activity (outside the objectives of the immersion activities or beyond the control of the faculty in
charge), we hold the University, its officers, coordinators and faculty free and harmless of any
damages and liabilities.

MARILOU GULOY
Printed Name and Signature of mother

REPUBLIC OF THE PHILIPPINES )


Province of Isabela ) S. C.
Municipality of ECHAGUE )

SUBSCRIBED AND SWORN before me this ___th day of ________________, 2020


at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No._________as
competent evidence of their identity.

Doc No. _________________ NOTARY PUBLIC


Page No. ________________
Book No. ________________

Series of 20 ___

ISUE-CON-Wai-047
Revision 01
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF EDUCATION

PARENTS’ CONSENT

We, Mr. and Mrs.EUGENIO FLORESparents of ANGELICA FLORES grant our


permission to our child to conduct Community Immersion at Barangay San Fabian, Echague,
Isabela for Second Semester SY 2020 on days stipulated in their schedule (please refer to
attached schedule) as part of their National Service Training Program (NSTP). In the unlikely
event that the damages and/ or liabilities of whatever nature may arise in connection with the
activity (outside the objectives of the immersion activities or beyond the control of the faculty in
charge), we hold the University, its officers, coordinators and faculty free and harmless of any
damages and liabilities.

EUGENIO FLORES
Printed Name and Signature of father

REPUBLIC OF THE PHILIPPINES )


Province of Isabela ) S. C.
Municipality of ECHAGUE )

SUBSCRIBED AND SWORN before me this ___th day of ________________, 2020


at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No._________as
competent evidence of their identity.

Doc No. _________________ NOTARY PUBLIC


Page No. ________________
Book No. ________________

Series of 20 ___

ISUE-CON-Wai-047
Revision 01

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