Republic of the Philippines

ISABELA STATE UNIVERSITY

Cauayan City, Isabela

COLLEGE OF BUSINESS AND MANAGEMENT

Bachelor of Science in Hospitality Management

CONSENT OF PARENTS AND GUARDIANS

I _______________________ residing at_________________________________,

parent/guardian of ________________________ , a student in the Bachelor of Science in
Hospitality Management, College of Business and Management, Isabela State
University-Cauayan Campus, Cauayan City, Isabela, do hereby allow authorize him/her
undertake the Hotel Familiarization Activity as one of the major requirement for the subject,
HM 123 – Fundamentals in Lodging Operations. I further agree that the said program be
conducted off-campus, especially at The Hotel Andrea, Canciller Avenue, Cauayan City,
Isabela for the duration of the University Rules on Student Conduct and also by pertinent
rules, regulations, and policies and above membership firm/agency.

I hereby further agree to shoulder the P 3, 930.00 as a payment that will be incurred
on this activity, and that the University and the cooperating firm/agency will not be held
liable for any untoward events arising therefrom, as concerned officials will take all
precautionary measures to protect the student's interests.

IN WITNESS WHEREOF, I have hereunto signed an affidavit this ____ day of

________ 2024 at Isabela State University, Cauayan City, Isabela.

_________________________
Parents/Guardians Signature

Witness:

_________________________
Name & Signature

Subscribed and sworn to before me this ____ day of ________ 2024. Affiant
exhibiting to me his Residence Certificate No. ____________ issued at Isabela on _______.

Doc. No. ______________;

Page No. ______________;
Book No. ______________;
Series of ______________;
ISUCYN-EIRO-COP-004
Effectivity: December 20, 2019
Revision.: 0