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    Student'S Pledge and Waiver: Republic of The Philippines Estancia, Iloilo

    Uploaded by

    Natori DE Artus
    This document is a student pledge and waiver form from Northern Iloilo Polytechnic State College. In it, the student pledges to obey all rules and regulations of the school. They also waive their right to claim damages for any accidents or injuries that occur due to their own failure to follow warnings, cautions, or obey rules. The student and their parent or guardian must both sign, with the parent giving consent for the student to participate in socio-educational trips or tours.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Student'S Pledge and Waiver: Republic of The Philippines Estancia, Iloilo

    Uploaded by

    Natori DE Artus
    17 views1 page
    This document is a student pledge and waiver form from Northern Iloilo Polytechnic State College. In it, the student pledges to obey all rules and regulations of the school. They also waive their right to claim damages for any accidents or injuries that occur due to their own failure to follow warnings, cautions, or obey rules. The student and their parent or guardian must both sign, with the parent giving consent for the student to participate in socio-educational trips or tours.

    Original Description:

    NIPSC Student Waiver

    Original Title

    Students Pledge and Waiver

    Copyright

    © © All Rights Reserved

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    This document is a student pledge and waiver form from Northern Iloilo Polytechnic State College. In it, the student pledges to obey all rules and regulations of the school. They also waive their right to claim damages for any accidents or injuries that occur due to their own failure to follow warnings, cautions, or obey rules. The student and their parent or guardian must both sign, with the parent giving consent for the student to participate in socio-educational trips or tours.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    17 views1 page

    Student'S Pledge and Waiver: Republic of The Philippines Estancia, Iloilo

    Uploaded by

    Natori DE Artus
    This document is a student pledge and waiver form from Northern Iloilo Polytechnic State College. In it, the student pledges to obey all rules and regulations of the school. They also waive their right to claim damages for any accidents or injuries that occur due to their own failure to follow warnings, cautions, or obey rules. The student and their parent or guardian must both sign, with the parent giving consent for the student to participate in socio-educational trips or tours.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    NIPSCFoSRSASNo.

    03
    Revised June 2004

    Republic of the Philippines


    NORTHERN ILOILO POLYTECHNIC STATE COLLEGE
    Estancia, Iloilo

    OFFICE of the STUDENT and AUXILIARY SERVICES

    STUDENT’S PLEDGE AND WAIVER

    I, , whose signature appears below, student of Northern


    Iloilo Polytechnic State College, Estancia, Iloilo hereby state:

    1. That I promise to obey and abide all the rules and regulations promulgated and
    enforced by the Northern Iloilo Polytechnic State College, its officials and duly
    constituted authorities;

    2. That the Northern Iloilo Polytechnic State College, its officials, teachers and
    employees, agents and representatives, shall not be held liable for any accident, harm,
    and/or injury that may happen to me while in the performance of my duties and
    assignments as a student the cause of which is due to my failure to heed all warnings,
    cautions, signs, and/or advice and/or my neglect to obey and abide by the rules and
    regulations prescribed and promulgated by the school officials and all other duly
    constituted authorities, and I hereby further waive and renounce my rights to claim for
    damage against the Northern Iloilo Polytechnic State College, its officials, teachers and
    employees, agents and/or representatives for any accident, harm or injury that may
    happen to me in the manner and time above specified;

    3. That I have read and fully understood the contents of this pledge and waiver and
    I affix my signature hereto freely and voluntarily without mental reservation or purpose
    of evasion.

    Date Signature of the Student

    PARENT’S OR GUARDIAN’S AGREEMENT/CONSENT

    I, whose signature appears below,


    parent/guardian of hereby give permission to join
    the socio-educational trip/tour to

    translated to me the contents of the foregoing pledge and waiver signed by


    consent with and concur in the same without any mental reservation or purpose of
    evasion.

    Date Signature of the Parent

    Address

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