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Please read carefully before signing

Enrolment is not considered complete unless this form is carefully read and signed.

WAIVER AND AGREEMENT


TOPNOTCH MEDICAL BOARD PREP

I, ______________________________________, Filipino, of legal age, with residence at


_______________________________________________________, hereby acknowledge my free and voluntary enrollment at the
Board Preparation and Review Program (the Program) administered by TOPNOTCH MEDICAL BOARD PREP,
INC. (TOPNOTCH), and further manifest that:

1. I fully understand that the nature and scope of the Program as a supplemental review program for medical
students. The Program retains advisors who instruct their students on certain areas of medicine based on their
clinical expertise and an analysis of current trends in the Board Examinations conducted by the Philippine
Regulatory Commission (the Board Exams).

1.1 Hence, I am fully aware that TOPNOTCH will not conduct a complete review of all clinical and
theoretical medical material. Instead, TOPNOTCH only provides an assisted means to direct attention
to material deemed important by its advisors.

1.2 I also acknowledge and am fully aware that passing examinations, including but not limited
to the Board Exams, is primarily conditioned upon the students diligence in studying.

2. I fully understand that TOPNOTCH does not guarantee my obtaining a passing score in any examination,
including but not limited to the Board Exams. Hence, I hereby release, discharge, and covenant not to sue
TOPNOTCH, their respective administrators, directors, agents, officers, members, volunteers, advisors, and
employees, other participants, any sponsors, advertisers, and owner and lessors of the premises in which the
Program takes place (each considered one of the RELEASES herein), from all liability, claims, demands, losses or
damages on my account caused or alleged to be caused in whole or in part by the negligence of the RELEASES,
including but not limited to a claim for liability against the RELEASES as a result of my failure to pass the Board
Exams, should said event occur.

3. I acknowledge that the scheduled lectures and lecturers may change without prior notice.

4. I agree and covenant not to participate in any form of cheating, misrepresentation, or dishonesty in preparing for
and taking medical examinations, including but not limited to the Board Exams, including the dissemination and
sharing of any form of material connected illicitly with medical examinations, including but not limited to the
Board Exams, with any person. I hereby release and discharge TOPNOTCH from all responsibility and liability,
including but not limited to cross-claims and third-party claims, on account of a violation on my part of the duty
specified in this provision.

5. I agree and covenant not to misbehave or pursue unruly behavior while attending the Program or while in the
proximity of the Programs premises. I agree to follow the rules and regulations set forth by Topnotch. I
acknowledge the right and prerogative of TOPNOTCH, their respective administrators, directors, agents, officers,
advisors, and employees to eject me from the Program or the Programs premises should I misbehave, pose as a
threat to other students or if I do not follow the Topnotch Rules and Regulations.

6. I agree to attend the lectures of the Program and take the examinations (including quizzes, module exams, mock
board exams, among others) that the Topnotch team has prepared for me. I understand that all these are meant
for my use, for my learning, and for increasing my ability to prepare for the Boards.

7. I agree to participate in the efforts of the Topnotch Support Team (Mother/Father-goose and mentors) to create a
nurturing environment for my learning. I covenant to be open to them and participate in the one on one session
they have prepared in my behalf.

8. I have read this Waiver and Agreement, fully understand its terms, and have signed it freely and without
inducement or assurance of any nature and intend it to be a complete and agree that if any portion of this Waiver
and Agreement is held to be invalid the remainder, notwithstanding, shall continue in full force and effect.

_____________________________________ _____________________________
Signature above Full Name Date
Please read carefully before signing
Enrolment is not considered complete unless this form is carefully read and signed.

Date: ___________________

Oath of Integrity & Excellence

I,_______________________________________, from (Medical school, year of graduation) _____________________________________________


___________________________________________ do solemnly swear to uphold the highest standards of integrity both in my
preparation for the Physician Licensure Exams and in my taking of the Boards. I vow to never participate in any
form of cheating and to never compromise my integrity. I will study hard, put in the work required, and ensure
that I attain the title of Doctor in an honest and truthful way.

I will follow the rules and regulations set forth by the Board of Medicine and maintain good conduct before, during
and after the medical board exams.

I know TOPNOTCH is here to assist me but I take full responsibility for my learning. I know I face a formidable
challenge ahead of me, but I am confident that it is surmountable with hard work, skill, and study. I therefore
endeavor to do my best to study so I can achieve my goal.

I dedicate myself in the next few months to systematic, disciplined and motivated study. I dedicate myself to pursuit of
excellence.

I offer my future license to my God, my family, my loved ones, and to my countrymen.

I declare before you and before my God my oath of integrity and excellence.

So help me God.

___________________________________________
Signature Above Printed Full Name