TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES

WAIVER
(On-the-Job Training / Practicum)
This is to certify that I am allowing my nephew Michael John Roland M. Arcay to undergo On-the-Job
Training/Practicum at Mallers Management Corporation from April 16, 2015 to May 19, 2015.
We also hold the Technological Institute of the Philippines free and harmless from any responsibility nor be
held liable whatsoever for any injury, personal or pecuniary, which may happen to him / her and / or caused
by third person within or outside the company premises throughout the duration of the On-the-Job
Training/Practicum.
____________Leah R. Montesa______________
Parents/Guardians Signature Over Printed Name
Date : ____April 15, 2015___________________

____Michael John Roland M. Arcay___

Students Signature Over Printed Name
Date : _____ April 15, 2015_________

ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES )
QUEZON CITY, METRO MANILA ) S.S
BEFORE ME, a Notary Public for and in Manila City this ________ day of ________, personally
appeared:
NAME

CTC NO.

DATE/PLACE ISSUED

All known to me and to be known to be the same persons who executed the foregoing Memorandum of
Agreement, consisting of two (2) pages, signed by them and their witnesses, and they acknowledge that
the same is their voluntary act and deed and also of those whom they represent.
WITNESS MY HAND AND SEAL
DOC. NO. ;
PAGE NO. ;
BOOK NO. ;
SERIES NO ;

NOTARY PUBLIC