January 30, 2024

____________________________
____________________________
____________________________

To whom it may concern,

We, the bonafide 3rd year Bachelor of Science in Architecture students of

Pangasinan State University Urdaneta Campus would like to humbly and
respectfully request your good office to permit us to conduct our Major Research
in Specialization 1: Urban Design entitled, ______________________________.

We are tasked to look for a lot that is conducive to building the proposed project. The
chosen and obtained lot or site will be used to perform several analyses to help our
study and architectural programming such as the site analysis and site planning. In
addition, it will be used solely for educational purposes. In connection with this, we
humbly request information regarding Balikbayan Park in the City of Urdaneta.

This design project will immensely help promote the City of Urdaneta regarding its
rich culture and the role of urban park in the City. It will be utilized as a reference in
relation to the said activity. Hence, we will take care of and keep its confidentiality.

The attached document is also the architectural plate instruction issued by our
instructor – Arch. Jyan M. Delos Reyes.

Thank you for your kind consideration.

Sincerely yours,

4th Year BS Architecture Students of PSU Urdaneta

Arch. Jyan M. Delos Reyes, UAP

Instructor
January 30, 2024

____________________________
____________________________

To whom it may concern,

We, the bonafide 3rd year Bachelor of Science in Architecture students of

Pangasinan State University Urdaneta Campus, would like to humbly and
respectfully request your good office to permit us to conduct our Major Research
in Specialization 1: Urban Design entitled, ______________________________.

We are tasked to look for a lot that is conducive to building the proposed project. The
chosen and obtained lot or site will be used to perform several analyses to help our
study and architectural programming such as the site analysis and site planning. In
addition, it will be used solely for educational purposes. In connection with this, we
humbly request information regarding Balikbayan Park in the City of Urdaneta.

This design project will immensely help promote the City of Urdaneta regarding its
rich culture and the role of urban park in the City. It will be utilized as a reference in
relation to the said activity. Hence, we will take care of and keep its confidentiality.

The attached document is also the architectural plate instruction issued by our
instructor – Arch. Jyan M. Delos Reyes, UAP.

Thank you for your kind consideration.

Sincerely yours,

4th Year BS Architecture Students of PSU Urdaneta

Arch. Jyan M. Delos Reyes, UAP

Instructor
 PARENT’S WAIVER FORM

This is to certify that I am allowing my son/daughter

_____________________________________________ on ___________________
to conduct his/ her Major Plate in Architectural Design 6 – Design of an Olympic Park
in the municipality of Lingayen, Pangasinan. I hereby allow him/ her to go on a
site visit to request information regarding the Balikbayan Park located the city
of Urdaneta as a partial fulfilment of the requirements for the degree in
Bachelor of Science in Architecture of Pangasinan State University Urdaneta
City Campus.

It is understood that my son/daughter shall abide by the rules and regulations

imposed by Pangasinan State University Architecture Department to ensure his/her
safety and health protocols.

I fully agree to waive any responsibility on the part of Pangasinan State University in
case of any untoward incident that may happen to him/her during the site visit.

I declare having read and understood the above Parent’s Waiver Form in its entirety
and hereby consent to allow my son/daughter to participate, acknowledging all of the
foregoing.

_______________________________________
Parent/Guardian Signature Over Printed Name

Noted by:

Arch. Jyan M. Delos Reyes, UAP

Instructor

Arch. Javier Kenneth C. Ciriaco, UAP

Chairman
 STUDENT’S WAIVER FORM

This is to certify that I, _______________________________________, will conduct

my Major Plate in Architectural Design 6 – Design of an _____________ in the City
of Urdaneta, Pangasinan on ____________________. I will go on a site visit to
request information regarding the Balikbayan Park located the city of Urdaneta
as a partial fulfilment of the requirements for the degree in Bachelor of Science
in Architecture of Pangasinan State University Urdaneta City Campus.
It is understood that I shall abide by the rules and regulations imposed by
Pangasinan State University Architecture Department to ensure my own safety and
health protocols.

I fully agree to waive any responsibility on the part of Pangasinan State University in
case of any untoward incident that may happen to me during the site visit.

I declare having read and understood the above Student’s Waiver Form in its
entirety, acknowledging all the foregoing.

______________________________________
Student’s Signature Over Printed Name

Noted by:

Arch. Jyan M. Delos Reyes, UAP

Instructor

Arch. Javier Kenneth C. Ciriaco, UAP

Chairman