WAIVER

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LA CONCEPCION COLLEGE, INC.

Kaypian Road, corner Quirino Highway, City of San Jose del Monte, Bulacan
(044) 769-06-86 . www.laconcepcioncollege.com

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

I, _______________________________________, Filipino, ____ years of age,


residence of _______________________________________________________ and
presently enrolled in LA CONCEPCION COLLEGE, Brgy. Kaypian, City of San Jose
Del Monte, Bulacan, hereby voluntarily renounce and waived, with the consent and
conformity of my parents/guardian and all claims that I may have against LA
CONCEPCION COLLEGE, and/or its officials, arising from any cause that may occur in
connection with On-the-Job training.

 This waiver takes effect only on the duration of On-the-Job Training and of the said
purpose.

IN WITNESS HEREOF, I hereby affix my signature this ____ day of ____________


2023, in the City of _____________.

WITH MY CONSENT AND CONFORMITY:

 __________________________ ______________________________
Signature over Printed Name  Student Signature over Printed Name
of Parent of Student of Student

SUBSCRIBED AND SWORN TO before me this ____day of _______________


2023, affiant exhibited tome his/her Residence Certificate No.___________ issued at
_______________ on ____________________.

Notary Public
Doc. No. _________
Book No. _________
Page _________
Series of _________

Attested By:

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