Reference No.: BatStateU-FO-NSTP-03 Effectivity Date: January 3, 2017 Revision No.

: 00

Parent’s / Guardian’s Consent

_________________
(Date)

TO ALL CONCERNED:

I, _______________________________________________________, grant permission

(name of parent / guardian)

for my child / ward _____________________________________________________________,

(name of student)

a _____________________ student of _____________________________________________

(year level) (course)

of the _______________________________________________ of this University, to undergo

(campus)

immersion / community project in _________________________________________________

(place of immersion / community project / barangay)

to render services for community development under the NATIONAL SERVICE TRAINING
PROGRAM this Second Semester, AY ___________. By signing this document, it is understood
that my child/ward:

a. Has been properly oriented on all the rules and regulations of the program (see back of
this) and he shall comply with the same; otherwise, he/she shall be excluded from
further participation;

b. Shall exercise care and diligence in participating in projects for community

development assigned to him/her and the attached details of the projects and its
consequences are fully understood by him/her;

c. If in case that he/she is on the age of majority, he/she shall be made answerable for any and
all liabilities for damages to property or injury to himself/herself, to the University or its
representatives and/or to third persons which may be occasioned by his/her intentional or
negligent act while in the course of the implementation of the program.

d. If in case that he/she is a minor, I will take full accountability on any and all liabilities
occasioned by his/her intentional or negligent act while in the course of the
implementation of the program.

_____________________________________________
(Parent / Guardian’s signature over printed name)
Contact number: _______________________________
Address: _____________________________________

Conforme:

______________________________________
(Student’s signature over printed name)
______________________________________________________________________________

Name of Instructor: DIANA MARIE C. JAVIER Contact No. 0916-775-1989

NATIONAL SERVICE TRAINING PROGRAM OFFICE

(043) 300-2202 loc. 111 thenstpofc_batstate@yahoo.com
 Reference No.: BatStateU-FO-NSTP-03 Effectivity Date: January 3, 2017 Revision No.: 00

1. Republic Act No. 9163 (NSTP Act of 2001) applies to the University NSTP.

2. Republic Act No. 9163 requires the completion of six (6) units of one component of NSTP
for graduation in a baccalaureate or 2-year vocational courses. Sections 5 and 6 of the law
provide:
Section 5. Coverage - Students, male and female, of any
baccalaureate degree course or at least two (2)-year technical vocational
courses in public and private educational institutions shall be required to
complete one (1) of the NSTP components as requisite for graduation.

Section 6. Duration and Equivalent Course Unit - Each of the

aforementioned NSTP program components shall be undertaken for an
academic period of two (2) semesters.

3. The NORMS OF CONDUCT FOR COLLEGE STUDENTS applies to NSTP

activities.

4. Students are required to WEAR THE PROPER NSTP-CWTS/LTS UNIFORM as

prescribed under ITEM NO. 5.7.1 xxx of Conduct for College Students, which
states that:

5.7.1 NSTP activities (in campus and off-campus), and NSTP classes
if held during weekends, require the wearing of prescribed NSTP t-shirts,
pants (any color), rubber shoes, and socks.

5. The official Student ID card is required to be worn at all times through its ID card holder.

6. NSTP – CWTS / LTS male students shall be required to wear DECENT TRAINING
HAIRCUT which is a decent barbers cut, described as
a. one the hair of which does not touch the ears or the collar of the school uniform
polo, or shorter, one that does not have flashy hair color and trimmings, and
b. one that does not tend to conceal its true and actual length.

SUBCRIBED AND SWORN to before me on this _________________ at

________________________ by Affiant with ____________________________________.

NATIONAL SERVICE TRAINING PROGRAM OFFICE

(043) 300-2202 loc. 111 thenstpofc_batstate@yahoo.com