Date

ATTY. JULIUS BABISTA

Director, Office for Student Affairs
Adamson University

Dear Atty. Babista:

I permit my son/daughter/ward
(Name) (Course)

to attend the
(Year) (Student Number) (Activity)

At on

This Activity will cost Php2500 it will cover the Transportation, Accommodation and
Food of the students.

I trust and recognize the utmost diligence observed by the OSA Personnel or authorized
representative in supervising the above mentioned activity to prevent any untoward
incident to happen.

Sincerely yours,

Father/Mother/Guardian

Address

Contact Number