ST.

PETER’S COLLEGE

#042 Sabayle, St.,Iligan City

221-5860 or 6247

COLLEGE OF CRIMINOLOGY

OJT/INTERNSHIP’S CONSENT/WAVER

I, Mr. Elena Y. Dineros. A resident of Malabang Lanao del sur, Philippines, after having been duly
informed regarding the deployment of Criminology Intern in various agencies/offices of the government
and private sector bounded by a Memorandum agreement, which will start from May 13, 2019 to
August 30, 2019 as a requirements of their on-the-job training, do hereby give my consent to my son
Leonard y. Dineros. who shall be under the direct supervision of the instructor and staff and agencies
supervisors.

With all the benefits that our son Leonard Y. Dineros could from this on-the-job training. I shall not hold
the party concerned (school, instructor, and staff or the personnel of the government agencies) where
my son is assigned for any untoward incident that may happen beyond their control.

IIN WITNESS WHEREOF, I have hereunto set my hand this day of May 2019 at Iligan City, Philippines.

_ Elena Y. Dineros.

Signiture over Printed name of Parents

SIGNED IN THE PRESENCE OF:

______________________ _____________________

Signature over printed name Signature over printed name

ACKNOWLWGEMENT

Republic of the Philippines

(Iligan City) S.S

SUBSCRIBED AND SWORN To before me this _________day of __________at Iligan city with
res.Cert.No ._______ issued on _______________at ___________________Philippines.