Professional Documents
Culture Documents
I am aware that we are going to visit different companies in Baguio City in order for us to be oriented on the
applications of the theories and concepts we have gained inside the classroom.
In consideration, therefore, I hereby freely and voluntarily assume the following duties:
1. That, I recognize the authority of my cooperating leaders / facilitators / officers and submit myself to all the
rules and regulations that may be imposed upon me in connection with this event,
2. That, I, myself will be the one to shoulder all my expenses including food, transportation and
lodging/amenities, and –
3. That, I renounce and waive my claim against the Polytechnic University of the Philippines (Taguig Branch)
and its staff for any injury that I may sustain in such circumstances that is beyond human control, or loss
that I may suffer, personal or pecuniary, in the performance of my duties or functions while under this
activity.
Signed this _____ day of September 2018 at Polytechnic University of the Philippines, Taguig Campus.
_________________________
Name of Student
Witness:
I hereby waive/renounce the right to any complaint for compensation or course of action against PUP
Taguig in any case of any accident/injury in the course of the Field Trips and Seminars..
In view of the foregoing, I hereby affixed my signature below this _____ day of September 2018 at Taguig
City.
______________________________
Affiant
JURAT
SUBCRIBED AND SWORN to before me this _____ day of September 2018, affiant exhibiting to me his/her
government issued Identification Card No. _____________________ issued by________________________ with
expiry date on _________________. (Name of Government Agency)
NOTARY PUBLIC
Doc No.______;
Page No._____;
Book No._____;
Series of 2018
Gen. Santos Ave. Lower Bicutan, Taguig City 1772; (Direct Line) 837-5858 to 60; (Telefax) 837-5859; website:
www.pup.edu.ph e-mail: taguig@pup.edu.ph
Gen. Santos Ave. Lower Bicutan, Taguig City 1772; (Direct Line) 837-5858 to 60; (Telefax) 837-5859; website:
www.pup.edu.ph e-mail: taguig@pup.edu.ph