Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna

COLLEGE OF ARTS AND SCIENCES

ON-THE–JOB TRAINING WAIVER

I, Kimberly C. Abay-abay of legal age, 21 years old and presently residing at

Brgy. San Antonio, Pila, Laguna through the request of LSPU Main Campus, Sta.
Cruz, Laguna and in consideration therefore hereby freely and voluntary assume and
impose upon myself the following duties.

That I recognize the authority of the San Antonio De Padua College upon
whom I may be placed and submit myself to such rules and regulations that may be
imposed in connection with my training.

That I renounce and waive any claims against San Antonio De Padua College
and LSPU Main Campus, Sta. Cruz, Laguna any injury that I may sustain or any loss
that I suffer, personal or pecuniary, in the performance of my duties or function.

Signed this 15th day of January 2018.

KIMBERLY C. ABAY-ABAY
Student Signature over Printed Name
WITNESSES:
EMELDA C. ABAY-ABAY
Guardian/Parent

MERILYN P. JUACALLA, Ed. D. MA. VICTORIA A. CABIGAN, Ed. D.

College OJT Supervisor Dean, College of Arts & Sciences

EDWIN A. PAILAN, Ed. D.

Chairperson, Placement & Career Services
 Republic of the Philippines
Laguna State Polytechnic University
Province of Laguna

COLLEGE OF ARTS AND SCIENCES

ON-THE–JOB TRAINING WAIVER

I, Mildred H. Aguilar of legal age, 20 years old and presently residing at Brgy.
San Salvador, Luisiana, Laguna through the request of LSPU Main Campus, Sta.
Cruz, Laguna and in consideration therefore hereby freely and voluntary assume and
impose upon myself the following duties.

That I recognize the authority of the San Antonio De Padua College upon
whom I may be placed and submit myself to such rules and regulations that may be
imposed in connection with my training.

That I renounce and waive any claims against San Antonio De Padua College
and LSPU Main Campus, Sta. Cruz, Laguna any injury that I may sustain or any loss
that I suffer, personal or pecuniary, in the performance of my duties or function.

Signed this 15th day of January 2018.

MILDRED H. AGUILAR
Student Signature over Printed Name
WITNESSES:
MEDLYN H. AGUILAR
Guardian/Parent

MERILYN P. JUACALLA, Ed. D. MA. VICTORIA A. CABIGAN, Ed. D.

College OJT Supervisor Dean, College of Arts & Sciences

EDWIN A. PAILAN, Ed. D.

Chairperson, Placement & Career Services
 Republic of the Philippines
Laguna State Polytechnic University
Province of Laguna

COLLEGE OF ARTS AND SCIENCES

ON-THE–JOB TRAINING WAIVER

I, MaryJoy S. Capitulo of legal age, 22 years old and presently residing at

Brgy. Talaongan West, Cavinti, Laguna through the request of LSPU Main Campus,
Sta. Cruz, Laguna and in consideration therefore hereby freely and voluntary
assume and impose upon myself the following duties.

That I recognize the authority of the San Antonio De Padua College upon
whom I may be placed and submit myself to such rules and regulations that may be
imposed in connection with my training.

That I renounce and waive any claims against San Antonio De Padua College
and LSPU Main Campus, Sta. Cruz, Laguna any injury that I may sustain or any loss
that I suffer, personal or pecuniary, in the performance of my duties or function.

Signed this 15th day of January 2018.

MARYJOY S. CAPITULO
Student Signature over Printed Name
WITNESSES:
HERMINIA S. CAPITULO
Guardian/Parent

MERILYN P. JUACALLA, Ed. D. MA. VICTORIA A. CABIGAN, Ed. D.

College OJT Supervisor Dean, College of Arts & Sciences

EDWIN A. PAILAN, Ed. D.

Chairperson, Placement & Career Services
 Republic of the Philippines
Laguna State Polytechnic University
Province of Laguna

COLLEGE OF ARTS AND SCIENCES

ON-THE–JOB TRAINING WAIVER

I, Justhine Anne I. Carada of legal age, 23 years old and presently residing at
Brgy. San Antonio, Bay, Laguna through the request of LSPU Main Campus, Sta.
Cruz, Laguna and in consideration therefore hereby freely and voluntary assume and
impose upon myself the following duties.

That I recognize the authority of the San Antonio De Padua College upon
whom I may be placed and submit myself to such rules and regulations that may be
imposed in connection with my training.

That I renounce and waive any claims against San Antonio De Padua College
and LSPU Main Campus, Sta. Cruz, Laguna any injury that I may sustain or any loss
that I suffer, personal or pecuniary, in the performance of my duties or function.

Signed this 15th day of January 2018.

JUSTHINE ANNE I. CARADA

Student Signature over Printed Name
WITNESSES:
HERMIES I. CARADA
Guardian/Parent

MERILYN P. JUACALLA, Ed. D. MA. VICTORIA A. CABIGAN, Ed. D.

College OJT Supervisor Dean, College of Arts & Sciences

EDWIN A. PAILAN, Ed. D.

Chairperson, Placement & Career Services
 Republic of the Philippines
Laguna State Polytechnic University
Province of Laguna

COLLEGE OF ARTS AND SCIENCES

ON-THE–JOB TRAINING WAIVER

I, Jessica W. Salvacion of legal age, 21 years old and presently residing at

Brgy. San Isidro Longos, Kalayaan, Laguna through the request of LSPU Main
Campus, Sta. Cruz, Laguna and in consideration therefore hereby freely and
voluntary assume and impose upon myself the following duties.

That I recognize the authority of the San Antonio De Padua College upon
whom I may be placed and submit myself to such rules and regulations that may be
imposed in connection with my training.

That I renounce and waive any claims against San Antonio De Padua College
and LSPU Main Campus, Sta. Cruz, Laguna any injury that I may sustain or any loss
that I suffer, personal or pecuniary, in the performance of my duties or function.

Signed this 15th day of January 2018.

JESSICA W. SALVACION
Student Signature over Printed Name
WITNESSES:
JULIANA W. SALVACION
Guardian/Parent

MERILYN P. JUACALLA, Ed. D. MA. VICTORIA A. CABIGAN, Ed. D.

College OJT Supervisor Dean, College of Arts & Sciences

EDWIN A. PAILAN, Ed. D.

Chairperson, Placement & Career Services