Far Eastern University

Institute of Arts and Sciences

Department of Psychology
Manila, Philippines

August 30,2019

GUARDIAN CONSENT FORM

(For Practicum)

I, Angelita S.A. Aseron, guardian of Arjay Vic B. Aguilar , is giving him consent to
participate in the Practicum Program of the Department of Psychology, Far Eastern University,
Manila.
I understand that this practicum/on-the-job training is a requirement of all BS Psychology
graduating students.
I undertake not to hold Far Eastern University or any of its officers or administrators liable
for any damage or injury which may be suffered by my nephew or caused to third persons by any
act attributable to the negligence or culpable act of my nephew or of any third person.

This consent form has been signed voluntarily, fully aware of my rights under the law.
Sign on ____________________ at ___________________________.
(Date) (Place)

With my guardian consent,

______________________________
Guardian’s signature over printed name

FEU/A-IAS-QSF.105 Revision No:00 Effective Date: November 22, 2018