Parents / Guardians Certification of Waiver /

Permission
This is to certify that I am allowing my son, Renz Irvy V.
Misagal to go on a practicum (On-The-Job Training) for a
minimum of 350 hours at Continental Temic Electronics
(Phils.) Inc. in partial fulfilment of the requirements for the
degree in Bachelor of Science in Electronics and
Communications Engineering.
It is understood that he abides by the rules and regulations
that may be imposed by the Supervisor/Staff-in-Charge for his
welfare and safety.
I fully agree to waive any responsibility on the part of
Polytechnic University of the Philippines, Continental Temic
Electronics (Phils.) Inc., and/or the representative/s, in case of
any untoward incident that may happen to my son during the
duration of the practicum.
Teresita V. Misagal

Renz Irvy V. Misagal

Mabini Street Rizal Village Subdivision Brgy. Paciano Rizal
Calamba City, Laguna
09097333900