Republic of the Philippines

TARLAC AGRICULTURAL UNIVERSITY

Camiling, Tarlac

WAIVER FOR LOCAL ON-THE-JOB TRAINING

(FOR THE STUDENT)
 
To Whom It May Concern:
 
I am, Adelaida G. Laranang, 22 years old and a 4th year student of the Tarlac Agricultural University - College of
Business and Management.
 
In partial fulfillment of the requirements for my degree of Bachelor of Science in Business Administration, major in
Financial Management, I shall be undergoing an internship training for a total of 600 hours starting on January 16
until May 5, at St. Peter Life Plan, Inc.
 
In relation to the said internship training:
 
a) I believe that it is my responsibility to take the necessary precautions to avoid or get involved in any incident that
could cause loss, damage or injury to my own person or that of another;
 
b) I understand the risks of this OJT program in relation to COVID-19 pandemic. I understand that it is my
responsibility to follow all health and safety protocols implemented by the HTE and local government to prevent the
spread of COVID-19 disease which includes:
a. being fully vaccinated
b. always wearing mask and other appropriate personal protective equipment
c. always carrying personal hygiene kits containing alcohol/hand sanitizer, cleansing wipes, extra face mask.
d. Staying home when not feeling well, and informing the supervisor and OJT Coordinator for such and
proper monitoring

c) I understand that I am accountable to fully ascertain, if necessary, with the help of a medical professional, my
physical and mental fitness to join such activity;
 
d) I must ensure that I am sufficiently healthy or free from any medical condition that may be aggravated by my on-
the-job training. Should I be diagnosed of any medical condition during my OJT, I commit to immediately report the
same in writing to the assigned faculty coordinator and to my field supervisor;
 
e) I hereby declare that I pledge to strictly observe St. Peter Life Plan, Inc. rules on security and confidentiality of
business information and other regulations that may be implemented by my direct supervisor and our OJT coordinator
in relation to my training;
 
f) I have properly informed my parents or the person(s) exercising parental authority over my person of the nature of
my on-the-job training activities and had secured their consent for my participation. I likewise secured their advice on
the measures which I am to undertake for my personal safety and security.
 
g) I hereby agree to waive any responsibility on the part of TAU in relation to any untoward incident which may
happen to me during the said internship training, unless the said loss, damage, injury or accident arose from the direct
act or gross negligence of TAU.
 
___________________________
Signature of Student
 
____________________
Date
 
Attested:
 
 
SILVERIO RAMON DC. SALUNSON, DBA _____________________ _____________
Dean, College of Business and Management Signature Date
 
 
BENNY S. SOLIMAN, Ph. D. _____________________ _____________
Director, OSSD Signature Date
 
 
CHRISTINE N. FERRER, Ed. D. _____________________ _____________
Director, ELIA Signature Date
 
 Republic of the Philippines
TARLAC AGRICULTURAL UNIVERSITY
Camiling, Tarlac

WAIVER/PERMISSION FORM FOR LOCAL

ON-THE-JOB TRAINING
(FOR PARENT/GUARDIAN)
 
To Whom It May Concern:
 
This is to certify that I am permitting my son/daughter, Adelaida G. Laranang, of legal age and residing at Bamban,
San Clemente, Tarlac to undergo an internship training program with the St. Peter Life Plan, Inc. , in partial fulfilment
of the requirements for the degree of Bachelor of Science in Business Administration, Major in Financial
Management
 
My son/daughter voluntarily submits himself/herself to undertake the OJT program for a period of six weeks or upon
the completion of 200 hours. He/She shall report back to the Tarlac Agricultural University (TAU) after the internship
period and is NOT allowed to extend beyond the approved duration in compliance to CMO No. 22, s. 2013.
 
I believe that the internship program will develop my son’s/daughter’s ability to apply pertinent knowledge in the
practice of agriculture in an effective and professional manner and further enhance his/her professional growth
through technology transfer.
 
Expectedly, he/she should strictly observe the rules and regulations of St. Peter Life Plan, Inc. and TAU, in relation to
the said training program and to observe all other regulations that may be implemented by his/her supervisor in
relation to the same. These includes all health and safety protocols implemented by the Host Training Establishment
and the local government to prevent the spread of COVID-19 disease.
 
I shall not hold the University liable and I hereby agree to waive any responsibility should any untoward incident
happen to my son/daughter as a result of utter disregard of instructions given by proper authorities and/or beyond
their control.
 
I have likewise read the Internship Waiver Form signed by my son/daughter and is fully agreeable with all the things
stated thereon.
 
 
Ancheta V. Lumuntad _____________________ _____________
Name of Parent/Guardian Signature Date
 
 
 
Attested:
 
 
SILVERIO RAMON DC. SALUNSON, DBA _____________________ _____________
Dean, College of Business and Management Signature Date
 
 
BENNY S. SOLIMAN, Ph. D. _____________________ _____________
Director, OSSD Signature Date
 
 
CHRISTINE N. FERRER, Ed. D. _____________________ _____________
Director, ELIA Signature Date
REPUBLIC OF THE PHILIPPINES
__Camiling, Tarlac__ S.S
 
BEFORE ME, a Public Attorney in and for the above jurisdiction, this ___ day of
__________________ 2022,
personally appeared.
 
 
NAME   SSS/TIN/PASSPORT

     

     

     

 
Known to me, to be same person (s) who executed to foregoing instrument and acknowledge to me the
same as their free voluntary act and deed.
 
This instrument, consisting of ___ pages, including this page on which this acknowledgement is written,
has been signed by the PARTIES and the instrumental witnesses on each and every page thereof.
 
WITNESS MY HAND AND SEAL, on the date and place above written.
 
 
Doc. No.   :

Page No.   :

Book No.   :

Series of 2022