AFFIDAVIT OF WAIVER

I, _________________________, a resident of _________________________________

and _______ years old, hereby dispose and say:

That I am a bona fide student taking ____________________________________ at the

_____________________________________________;

That, in relation to the completion of the course _________________________, I

voluntarily submit myself to undergo On-the-Job Training at the Davao Sugar Central Co., Inc.
located at Guihing, Hagonoy, Davao del Sur for _____ hours starting _______________;

That I recognize the authority of Davao Sugar Central Co., Inc. and shall adhere to the
policies that may be imposed upon me during my training;

That I shall not receive any compensation for any task assigned to me in relation to the
training;

That I am fully aware of the usual hazards and danger associated with such training and
that I waive, relinquish and abandon any right of action for any accident, damage or injury that I
may sustain while on training;

Signed on this _____ day of _____________ at ______________________.

________________________
Student – Trainee

WITH THE CONSENT AND APPROVAL OF PARENT OR LEGAL GUARDIAN:

Parent: ____________________________________
Address: __________________________________
__________________________________
CTC no.: __________________________________
Issued at _________________ on ______________

________________________
Parent/Legal Guardian

Signed in the presence of:

_____________________________ _____________________________