Republic of the Philippines

M I N D A N A O S TAT E U N I V E R S I T Y
Fatima, General Santos City
Tel: (083) 380-7166; Fax: (083) 380-7167
GE
N

ER AL

Y
C IT
S A N TO S

DEPARTMENT OF ELECTRICAL AND ELECTRONICS ENGINEERING

February 1, 2015

CERTIFICATION OF WAIVER

To Whom It May Concern:

This

is

to

certify

that

am

allowing

my

son/daughter,

_________________________ to join the ECE 191 Educational Trip to Cebu City

scheduled on February 18-22, 2015.
It is understood that my son/daughter shall abide by the rules and regulations
that may be imposed by the faculty-in-charge for the welfare and safety of the
group.
It is further understood that I fully agree to waive any responsibility on the
part of the University and the faculty-in-charge in case any untoward incident
happens to my son/daughter during the trip.

_______________________
Signature
_______________________
Name of Parent/Guardian

MSU-GSC
EE/ECE Field Trip Form B
February 2015