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Waiver and Permission Form

This document is a waiver and permission form for a student named Airan James L. Canlas to undergo an on-the-job training program at Nueva Ecija University of Science and Technology from January 31, 2022 to May 9, 2022. The form is signed by the student's father, mother, and guardian agreeing to waive responsibility of the university for any accidents during the training. It also agrees to hold the university harmless from any liability due to the student's actions during the program.

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33 views2 pages

Waiver and Permission Form

This document is a waiver and permission form for a student named Airan James L. Canlas to undergo an on-the-job training program at Nueva Ecija University of Science and Technology from January 31, 2022 to May 9, 2022. The form is signed by the student's father, mother, and guardian agreeing to waive responsibility of the university for any accidents during the training. It also agrees to hold the university harmless from any liability due to the student's actions during the program.

Uploaded by

AJ
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 NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY

On–the–Job Training and Career Development Center


Cabanatuan City ISO 9001:2015 Certified

WAIVER
AND PERMISSION FORM

This is to certify that I am permitting Airan james L.Canlas to undergo an On–the–Job


Training program for a total of 540 January 31, 2022 until
hours starting on
May 9 2022, at N_u_e_v_a_Ecija Unive_rsity_o_f_S_c_ienc_e_a_n_d_T_e_c_h_n_o_lo_g_y_S_a_n_Isidro
Cam_p_u_s_, in partial fulfillment of the requirements for the degree of Bachelor of Science in
I_n_fo_r_m_a_tion T_ech_n_o_log_y .

I/We further understand that he/she should strictly observe the rules and regulations of
Nue_v_a_E_cija Unive_rs_i_ty o_f _Scienc_e_and T_ech_n_o_lo_g_y (insert name of the institution or
company where the On–the–Job Training is to be conducted) and NEUST, On–the–Job Training and Career
Development Center, in relation to the said training.
I/We hereby agree to waive the responsibility on the part of the Nueva Ecija University of Science and
Technology in relation to any loss, damage, death, injury or accident that may happen to him/her during the said
On–the–Job Training, unless such loss, damage, injury, accident or death resulted from the fault or gross negligence
of NEUST On–the–Job Training and Career Development Center.

I/We also hereby agree to hold render NEUST On–the–Job Training and Career Development Center free
and harmless, including its officers, employees or agents, from any liability, suit or claim filed or made by any party
for any injury (including death) or damage to property that my son/daughter may cause due to his/her willful acts,
fault or negligence, whether or not the same arises from or is related to his/her On–the–Job Training Program.

I/We have likewise read the On–the–Job Training Program Waiver Form signed by my son/daughter and is
fully agreeable with all the things stated thereon.

A Jaime Jr C. Canlas January 28,


2022
Name of Signat Date
Father/Guardian ure

Mylene L. Canlas January 28,


2022
Name of Signat Date
Mother/Guardian ure

Mylene L. Canlas January 28,


2022
Name of Guardian Signat Date
ure

ACKNOWLEDGEMENT

Name of Student: Airan James L. Canlas


Home Address: San Roque San Isidro Nueva Ecija
Telephone No.: n/a
Mobile No.: NOTARY PUBLIC
09557717706
NEUST–OJT–F003
Rev. 01 (01.28.19)

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