DHRDD-In-Service Training Waiver2023

Annex “D”
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE, POLICE REGIONAL OFFICE 4A
LAGUNA POLICE PROVINCIAL OFFICE
New City Hall Complex, Chipeco Ave. Ext.,
Barangay, Real, Calamba City, Laguna

IN-SERVICE TRAINING WAIVER

I, ___________________________ (Rank Full Name), hereby acknowledge

and agree to participate in the _____________________ (Training Title) organized
by ____________________ (Training Implementer). I understand that this training
program is designed to provide knowledge, attitudes, values, and skills and does not
involve any strenuous physical activities.

I hereby certify that, to the best of my knowledge, I am physically fit and

capable of participating in the training program (Attached Medical Certificate). I
understand that it is my responsibility to consult with a medical professional if I have
any concerns regarding my physical condition.

I am aware of the risks and hazards associated with the activities covered in
this training program, and I acknowledge that unanticipated events that are
connected to the training activities and outside the control of the program
implementor or its instructors may occur during the training duration. As a result, I
accept full responsibility for any harm, loss, or damage that may come to me
personally or to my property as a result of my voluntary participation. I am aware that
the trainers and their instructors are not responsible for any such occurrences.

By signing this waiver, I certify that I have read and comprehended all of the
terms and conditions provided herein.

___________________________
Rank/Full Name Over Signature

Date: ___________________________