Republic of the Philippines

EASTERN SAMAR STATE UNIVERSITY

College of Business Management and Accountancy
http://essu.edu.ph

PARENT’S WAIVER

_________________
Date
__________________________
__________________________
__________________________

Sir/Madame:

I/We, the undersigned parent/s execute this waiver and express permission for our
daughter/son to participate in the _________________________ as a requirement in the
course, Bachelor of Science in Business Administration Major in Financial Management of the
College of Business Management and Accountancy. We understand that the said training will
cover 180 hours, which will be conducted in _________________________, located at
_____________________, from _____________________, 2018.

We are aware that the responsible officials conducting the said activity will take
precautionary measures to keep our daughter/son safe. However, if despite all efforts taken,
untoward incidents beyond their control occur, we will not hold liable the company and the
university where our daughter/son took On-the-Job Training/Immersion/Affiliation.

With our parental consent and high regard for the institution, we hereby affix our
signatures below this __________ day of ____________, 2018.

__________________________________________
Printed Name and Signature of the Parent/Guardian

SUBSCRIBED AND SWORN before me this ____day of _____, 2018 at

___________________________________, Philippines.

WITNESS MY HAND AND NOTARIAL SEAL

Doc No.: ______________

Page No.: _____________
Book No.: _____________
Series of ______________