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WAIVER

The undersigned parent/guardian of __________________ hereby voluntarily and


willingly allow and permit him/her to join the company visit scheduled by Mr. Raymund
E. Dilan of the College of Information Technology and Computer Science, University of
the Cordilleras. It will be held on October 4, 2010 at PLDT, Session Rd., Baguio City.

I am aware of the possible risks involved in the above mentioned. For this reason,
I hereby expressly and voluntarily WAIVE any or all possible actions against the
University of the Cordilleras and its representative, and shall not hold the later
responsible for any damages as a result of accidents and other unforeseeable events.

In witness thereof, I have here unto set my hands this 4th of October, in the year
2010.

________________________
Parent/Guardian
(Signature over printed name)

CERTIFICATION
I hereby certify that my parent/guardian has given conformity to my joining the
Company Visit. This is manifested by his/her signature above.

________________________
Student
(Signature over printed name)

Noted:

______________________
Mr. Raymund E. Dilan
Head, IT Department, CITCS

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