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AFFIDAVIT OF WAIVER

I, SHIEVA MARIE GRACE L. PARBO, of legal age, single, Filipino and with residence at
Malandag, Malungon Sarangani Province having been duly sworn to in accordance with
law, hereby depose and state to wit:

That I will undergo on the job training at Gentuna, Tambler, General Santos City
starting January , 2019.

That by this affidavit of waiver, I do hereby waive my rights to claim damages and
or other money claims in case of death or injury that may occur on my part while in the
course of my duty in the said place.

That this affidavit is executed to attest the truth of all the foregoing facts for
whatever legal purposes it may serve.

IN WITNESS HEREOF, I have hereunto affixed my signature this _____day of


____________________________ at _______________________________.

HANNAH MAE L. PARBO SHIEVA MARIE


GRACE L. PARBO
Parent/Guardian Affiant

RODULFO DORADO JR., MSc


OJT Coordinator

Subscribed and sworn to before me this ______day of______________, at


General Santos City.

___________________________
Notary Public

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