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Calayan Educational Foundation Inc

Senior High School Program

WAIVER

I, _________________________________, a grade 12 student of Calayan Educational


Foundation Inc. Requested that he/she will report and render internship practice for the period of
72 hours in the following schedule:

DAY TIME – IN TIME – OUT


Monday 8:00 am 5:00 pm
Tuesday 8:00 am 5:00 pm
Wednesday 8:00 am 5:00 pm
Thursday 8:00 am 5:00 pm
Friday 8:00 am 5:00 pm

Such act is voluntary on the part of the student concerned and that the office is not
responsible and/or liable for any untoward that might happen to the student within the period of
covered by his/her practice internship.

Issued this ____ day of February 2018

CONFORME:

_________________________
Signature over printed name (Intern)

__________________________
Signature over printed name (Parent/Gurdian)

Concurred By:

SILVERIO TUMACDER JR.


Instructor

Noted by:

CHARLOTTE TORRES JAVELOSA FERDIE DE LOS SANTOS


Teacher- in- Charge Faculty Head

Approved By:

DR. KAREN J.CUSI


Program Head

CALAYAN EDUCATIONAL FOUNDATION INC.


Maharlika Highway, Lucena City, Philippines ● Tel.No. +63 (042) 37-1287
www.cefi.edu.ph

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