Republic of the Philippines

MINDANAO STATE UNIVERSITY

Fatima, General Santos City
Philippines
ACKNOWLEDGEMENT

Janica A. Canda
I / We, the parent(s) / guardian of ________________________________, a student of the
Department of Agricultural and Biosystems Engineering, College of Agriculture, hereby acknowledge that
I am / we are fully aware that the required on-the-job training to be undertaken by my/our
son/daughter/ward is an integral part of the academic work leading to the completion of his/her program
leading to the degree of Bachelor of Science in Agricultural and Biosystems Engineering offered by the
College.

Furthermore, I / we acknowledge the following:

That every co-curricular activity that my son/daughter/ward participates in involves risk or risks
which are beyond the control of the College / University and the Cooperating Agency;

That I / we fully believe that the management of the College / University leaves no unturned stone
to promote and safeguard the welfare and safety of my/our son/daughter/ward, most especially during
off-campus co-curricular activities, like this on the job training and;

That I/We, and the Mindanao State University – General Santos shall give utmost
attention and precaution for the cooperator’s security and safety; and shall not hold the latter or any of
its officials responsible or liable for any injury or damage that the student may suffer by reasons of/or any
on the occasion of the trip unless with proven negligence with regards to safety standards.

_________________________
Signature over Printed Name
PARENTS / GUARDIAN

SUBSCRIBED and SWORN to before this ____day of _______2019, with the affiant exhibiting to
me his/her Community Tax Certificate No._____, issued on _________________at
_____________________.

Doc No. __________

Page No. __________ NOTARY PUBLIC
Book No. __________
Series No. __________