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WAIVER FORM

This is to promise that I, ______________________________________________of (sec)________________,


taking (course) ____________________________________________________________________________,
enrolled in COE IND 1 & 2 this 2nd Semester of School Year 2018-2019, will continue my internship at
(company)____________________________________________________________________________________
until I reach the required length of training (720 hours).

Also, I understand that If I fail to continue and finish the required number of hours for my internship,
my clearance for the releasing of my credentials might be withheld.

____________________________ ____________________________
Signature above Printed Name of Signature above Printed Name
Parent or Guardian of Student

_______________ _______________
Date Date

Note: Please attach photocopy of both signatories’ ID.

WAIVER FORM

This is to promise that I, ______________________________________________of (sec)________________,


taking (course) ____________________________________________________________________________,
enrolled in COE IND 1 & 2 this 2nd Semester of School Year 2018-2019, will continue my internship at
(company)____________________________________________________________________________________
until I reach the required length of training (720 hours).

Also, I understand that If I fail to continue and finish the required number of hours for my internship,
my clearance for the releasing of my credentials might be withheld.

____________________________ ____________________________
Signature above Printed Name of Signature above Printed Name
Parent or Guardian of Student

_______________ _______________
Date Date

Note: Please attach photocopy of both signatories’ ID.

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