Student Consent Form (3)

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Republic of the Philippines )

Sindangan, Zamboanga del Norte ) S.S

CONSENT/WAIVER

I, _____________________________ of legal age, a resident


______________________, Zamboanga del Norte, have sworn in accordance
with law do hereby depose and say:

1. That I am a bonafide student of PHILIPPINE ADVENT COLLEGE, INC.


Sindangan, Zamboanga del Norte;

2. That I understand, willfully with discretion according to the best of


my knowledge the possible or any untoward incidence that may
occur before, during and after the National Assessment in
Housekeeping NC II in School of Fisheries, Dipolog City;

3. That I allow and give consent to the Authorities duly assigned and
authorized by PAC as Person-in-Charge or chaperon to supervise
before, during and after the off-campus activity;

4. I understand further, that I shall not hold, neither PAC and LEDYLIN
LUAGUE/ EDEN GLADYS R. ACABO as the Person-in-Charge solidary
or jointly liable to whatever incidence that may occur during the
conduct of the said activity, provided that the latter shall observe
due diligence of a good father;

5. That I am undertaking this instrument to prove the genuineness and


sincerity of the foregoing statements.

IN WITNESS WHEREOF, I hereunto affix my signature this _______ day of


FEBRUARY 2024 at Sindangan, Zamboanga del Norte, Philippines.

_________________________________
Affiant

SUBSCRIBED AND SWORN TO before me this ______ day of FEBRUARY


2024 at Sindangan, Zamboanga del Norte, Philippines, affiant having
exhibited to me his/her ID:
___________________________________________________.

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