VISITOR’S WAIVER

____________________
NAME

____________________
ADDRESS

The visitor acknowledged that permission granted by this company is made subject to the
conditions, which he/she hereby accepts and agrees to wit:

1. That he/she recognizes the authority of this company and the area where he/she may
be allowed and submits himself/herself to all the rules and regulations that may be
imposed in connection with this visit;
2. That the company will not assume any responsibility whatsoever for any injury or
accident, personal or pecuniary, which may happen to him/her within the project
premises / project site.
3. That the visitor renounces and waives any form of damages; and
4. That the visitor will be subjected to safety orientation.

While he/she is in Viridian in Greenhills Project, this waiver will take effect on ______________.

If the foregoing terms are satisfactory, please indicate your acceptance or conformity by
affixing your signature in the spaces provided below.

______________________________

SIGNATURE OVER PRINTED NAME

( VISITOR )

______________________________

SIGNATURE OVER PRINTED NAME

( SAFETY OFFICER )