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    16 views1 page

    Lopez Waiver

    Uploaded by

    ruth lopez

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    = WESTERN MINDANAO STATE UNIVERSITY “AB College of Engineering tee, Xsee| Normal oad, Bowason. Zamboanga Cily Tel. no. (062) 991-9365 AFFILIATE AGREEMENT AND LIABILITY WAIVER X — ft Boge a Filipino, of legal age, and a resident of Sane Hy i face-to-face lasses of (one, barangay, ay/muniapaliyy do hereby voluntarily participate in the limited face-t the___ Bice 24 __under the following TERMS AND CONDITIONS: (Cousey 1 shall strictly abide by the rules and regulations ofthe WMSU College of Engineering and affiliating insttutions/ofices during the entire period of my dass/laboratory/practicum, including the health and safety guidelines issued by the government and local authorities, as well as any requirements ofthe facities/offoes; | have read the guidance from the IATF, DOH and CHED guidelines pertaining to COVID-19 and will exercise great care to ‘brotect myself and the people around me. Such protective measures include but not limited to wearing of mask or other Personal protective equipment, maintaining atleast sx feet distance (or ther minimum required distance) from other people, ‘washing or sanitizing my hands offen, and ensuring the cleanliness of my area/ workspace; | shall exercise utmost care and diligence in the performance of my ciass/laboratory/practcum works under the supervision of the assigned faculty or practicum supervisor andjor faculty in the course of my clas/laboratory/practicum; ‘4. fully understand that during the course of my dlass/laboratony/practicum, It may subject and expose me to risks that could result in illness, injury, and even death. Such rsks include, but are not limited to these associated with traveling to and from. the school/place of practicum; different standards of health, safety, maintenance of buildings, pubic places and conveyances; 5. understand that i s my responsiblity to take every precaution to safeguard my heath and personal belongings; 65. understand that itis my responsibilty to strict follow the polices, regulations, procedures, and relevant rules of the affllating institution/ofices as they relate tothe assurance of one's rights, safety, and welfare as wel asthe confidentiality of information both writen and verbal; 7. 1 shall refrain from recording videos, photographs and uploading the same in any socal media unless otherwise authorized by ‘competent authonty relative to my cass/laboratory/practicum experience as this concern to data privacy and protection; 8. 1 shall duly observe and comply with all obigations under the Data Privacy Law and relevant polices in connection with my

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