Professional Documents
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Waiver
Waiver
Waiver
We, STUDENT TRAINEE NAME (student-trainee) PARENT NAME (parent), hereby execute this
Waiver / Undertaking to hold the Polytechnic University of the Philippines and the training
institution free from any liability for any injury / illness / loss of life or property that may be incurred
/ sustained by the student-trainee in the course of his / her on-the-job training / practicum with
the training institution provided that the same is not due to any willful criminal act or gross
negligence of the training institution or any of its representatives, officers or employees.
As the parent of the student-trainee, I hold myself responsible for any expenses that may be
incurred as a result of the student’s illness, injury, death or loss of property in the course of the
student’s on-the-job training / practicum, except as provided above. I further undertake to be
responsible for any breakage, loss of property, damage, death or injury that may be caused by
the student-trainee to any party while undergoing training.
We execute this Waiver / Undertaking in accordance with our free will, realizing the benefits that
the student-trainee shall obtain from the said on-the-job training / practicum.
Pledge this 6th day of April 2017 in the Municipality of Taytay, Rizal.
Subscribed and sworn to before me affiants exhibiting valid proofs of their identity as follows:
Notary Public: