PAMANTASAN NG LUNGSOD NG MAYNILA

(University of the City of Manila)

General Luna St., cor. Muralla St.
Intramuros, Manila, Philippines
OFFICE OF THE NATIONAL SERVICE TRAINING PROGRAM
Tel: 643 - 2563
nstp@plm.edu.ph

WAIVER / PARENTAL CONSENT

Name of Activity RAATI PHASE II – CENTRALIZED / ROTC FINAL EXAMINATION

Inclusive Date/s 10 0600H MARCH 2019
Venue Headquarters Philippine Army Grandstand, Fort Andres Bonifacio

This is to certify that I allow my son/daughter/ward, ________________________________,

<name of student>

a ____________________________ student from the _____________________________,

<year and degree program> <name of college>

with Student Number ________________________ to join the RAATI PHASE II –

CENTRALIZED / ROTC FINAL EXAMINATION at Headquarters Philippine Army
Grandstand, Fort Andres Bonifacio, Metro Manila.

I voluntarily and knowingly waive all rights and causes of actions against Pamantasan ng
Lungsod ng Maynila, its faculty members, employees, officials and administrators, except for
liabilities arising from injuries and damages caused by gross negligence on the part of the
university.

In case of emergency, please contact:

Name of Contact Person : ____________________________________

Relationship to Student : ____________________________________

Contact Number/s : ____________________________________

Signature Over Printed Name / Relationship to Student

Attachments:
Copy of Signatory’s ID with signature