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    Plant Tour Waiver

    Uploaded by

    Paulene Sese
    This document is a waiver form from the Don Mariano Marcos Memorial State University releasing the university from liability for a plant tour. Micah Shaira G. Siojo, a mechanical engineering student, is participating in a plant tour on an unspecified date. Jose C. Siojo, Micah's parent, signs to give consent and waive liability for any damages that may occur during the tour, except those due to negligence by university staff. Both Micah and Jose sign to certify their agreement to the waiver.

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

    Plant Tour Waiver

    Uploaded by

    Paulene Sese
    328 views1 page
    This document is a waiver form from the Don Mariano Marcos Memorial State University releasing the university from liability for a plant tour. Micah Shaira G. Siojo, a mechanical engineering student, is participating in a plant tour on an unspecified date. Jose C. Siojo, Micah's parent, signs to give consent and waive liability for any damages that may occur during the tour, except those due to negligence by university staff. Both Micah and Jose sign to certify their agreement to the waiver.

    Original Title

    PLANT-TOUR-WAIVER

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    © © All Rights Reserved

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    This document is a waiver form from the Don Mariano Marcos Memorial State University releasing the university from liability for a plant tour. Micah Shaira G. Siojo, a mechanical engineering student, is participating in a plant tour on an unspecified date. Jose C. Siojo, Micah's parent, signs to give consent and waive liability for any damages that may occur during the tour, except those due to negligence by university staff. Both Micah and Jose sign to certify their agreement to the waiver.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    328 views1 page

    Plant Tour Waiver

    Uploaded by

    Paulene Sese
    This document is a waiver form from the Don Mariano Marcos Memorial State University releasing the university from liability for a plant tour. Micah Shaira G. Siojo, a mechanical engineering student, is participating in a plant tour on an unspecified date. Jose C. Siojo, Micah's parent, signs to give consent and waive liability for any damages that may occur during the tour, except those due to negligence by university staff. Both Micah and Jose sign to certify their agreement to the waiver.

    Copyright:

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

    Republic of the Philippines

    DON MARIANO MARCOS MEMORIAL STATE UNIVERSITY


    Mid La Union Campus
    College of Engineering
    City of San Fernando, La Union
    Tel. No. (072) 242-7330
    Email Address: [email protected]

    WAIVER
    CERTIFICATION OF PARENT’S CONSENT AND DMMMSU LIABILITY

    Name: MICAH SHAIRA G. SIOJO


    Course/Year telefax
    & Section: BSME V-MA : (072) 700-5453
    Date: Itinerary:_________________________
    Teacher’s concerned:____________________________________
    Transportation:_________________________________________

    CERTIFICATION

    I, Micah Shaira G. Siojo of Puzon, Rosario, La Union, student of DMMMSU –


    MLUC, Mechanical Engineering having been accepted to join the Plant Tour 2020 to be
    scheduled on ___________________ at the ___________________________________ and

    We, Jose C. Siojo of Puzon, Rosario, La Union parent/guardian of Mr/Ms Micah


    Shaira G. Siojo, after giving our consent and permission to him/her to join the activity
    mentioned above, do hereby resolve and free DMMMSU from whatever liability,
    damaged or claim of whatever nature and kind that may arise by the reason of the said
    activity. Accidental or otherwise by reason of unforeseen circumstances or through
    force majeure, and not the result of negligence, omission, or commission by any faculty
    member, personnel, employee or officer of the University.

    Done at Puzon, Rosario, La Union this ___ day of ____________ 20__.

    JOSE C. SIOJO MICAH SHAIRA G. SIOJO


    (Signature above Parent’s/Guardian’s (Signature above student’s Printed Name)
    Printed Name)

    COLLEGE OF ENGINEERING: powered to gear towards world-class engineering education


    Bachelor of Science in Electrical Engineering
    Bachelor of Science in Mechanical Engineering

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