EASTERN VISAYAS STATE UNIVERSITY- BURAUEN CAMPUS
Burauen, Leyte
Title of Form: OJT Parents’ Consent and Control No.
Waiver Revision No. 0
Date August 2023
PARENTS’ CONSENT and Waiver
I / We, Mr. __________________________ and Mrs. ________________
Parents of Mr./Ms. ________________________________, a prospective On- the – job trainee of
EASTERN VISAYAS STATE UNIVERSITY – BURAUEN CAMPUS – Bachelor of Science in Hospitality
Management has hereunto grant permission for him/ her to undergo 700 Hours Restaurant Phase in
_________________________________ (INDUSTRY) which is a requirement for graduation.
That we made it known, our continued financial and moral support to him/her during the
training. We shall adhere to any disciplinary action of the school, such as dropping him/her from the
rolls of trainers and/or barring him/her from graduation should it be found that he/she is a frequent
absentee and/or notoriously undesirable trainee.
-And -
THIS IS TO CERTIFY that the EASTERN VISAYAS STATE UNIVERSITY – BURAUEN CAMPUS and
the ___________________________________ (Industry) In no way responsible nor shall pay
compensation for any accident, harm or injury that may be caused to our son / daughter during the
training unless all precautionary measures are being implemented to prevent any accident to
happen.
It is fully known that we have read and understood all the contents of the parent’s consent
and waiver and have signed the same with our voluntary act and deed.
Signed this _____ day of ______________ 20 ___ in _________________, Philippines.
__________________________________________________________________
Signature over Printed Name of Parent/Guardian
I hereby certify that the signature that appears above is therefore genuine.
___________________________________________________
Signature over Printed Name of Student
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ACKNOWLEDGMENT
Republic of the Philippines)
Burauen, Leyte …………….) S S.
SUBSCRIBED AND SWORN to me before this __________ day of September 2023, Burauen, Leyte,
Philippines.
Doc No.______
EASTERN VISAYAS STATE UNIVERSITY- BURAUEN CAMPUS
Burauen, Leyte
Title of Form: OJT Parents’ Consent and Control No.
Waiver Revision No. 0
Date August 2023
Page No. _____
Book No._____ NOTARY PUBLIC
Series of 2023