NOTRE DAME OF MARBEL UNIVERSITY

Alunan Avenue, City of Koronadal 9506

South Cotabato, Philippines
Telephone Nos.:
President’s Telefax (+63 83) 228 3979 Email: president@ndmu.edu.ph
Trunk lines: (+63 83) 228 2218; 228 2377loc 102 (President) www.ndmu.edu.ph

WAIVER OF RIGHT

1946-2021
NDMU IS DIAMOND
“Bringing the youth’s dreams
TO WHOM IT MAY CONCERN: to life through the years”

This is to certify that, I,EILEEN A DIAZ parent of ANNA ERICKA A. DIAZ, a student of
Notre Dame of Marbel University in Koronadal City, South Cotabato has granted him/her
permission to join the Community Exposure at BRGY. PARAISO, CITY OF KORONADAL from
APRIL 24 TO APRIL 26, 2023 as partial requirement of his/her course BS NURSING.

I further affirm that the CITY GOVERNMENT OF KORONADAL is in no way responsible

nor shall pay compensation for any accident, harm, or injury that may be caused on his.her
person during exposure except for the accident insurance covered as a student of NOTRE
DAME OF MARBEL UNIVERSITY.

I also certify that he/she has on his/her own free will signified to me his/her decisión
to undergo this Community Exposure as evidenced by his/her signature affixed below
together with my own signature.

Signed and issued this 11th day of APRIL, 2023 at Notre Dame of Marbel University.

__ANNA ERICKA A. DIAZ______ ___________________________

Student Parent
ID No.:_______________________ Cel. No.: ____________________
ID. No.: _____________________

_____________________________ WITNESS ___________________________

(Printed Name & Signature) (Printed Name & Signature)

_____________________________ ___________________________
(Address) (Address)

HAZEL C. GRANIL, RMT, MIB, MSMT

Acting Dean, College of Arts and Sciences

… an institution that cares for the environment and

humanity.