PH 195 Waiver

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COLLEGE OF PUBLIC HEALTH

UNIVERSITY OF THE PHILIPPINES MANILA


SEAMEO-TropMed Regional Centre for Public Health,
Hospital Administration, Environmental and Occupational Health

625 Pedro Gil St., Manila 1000, P.O. Box EA-460 Manila Philippines
Tel. No. (632) 523-59-29 · Fax No. (632) 525-58-85 · Email: cph@mail.upm.edu.ph

WAIVER

This is to certify that I, (Name of parent/guardian) parent guardian of (Name of student) allow

my daughter/son/ward to attend the field activities of PH 195 which will be held on March 27-

May 4 (Mendez) 2017 or April 10-May 18, 2017 (Amadeo). I understand the importance of this

field practice in the achievement of the BS Public Health program objectives as it serves as a

culminating activity where concepts and skills learned are applied.

In connection to this, I shall not hold the PH 195 Committee AY 2016-2017, the College of

Public Health and the Community Health and Development Program of the University of the

Philippines Manila, liable in case any untoward incident happens during the conduct of the

course.

______________________________

Printed Name and Signature

______________________________

Date

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