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PARENT/GUARDIAN CONSENT FORM

I, CRISTINA C. BARLIS, the parent of ROSE ANN C. BARLIS, hereby expressly state that I agree
to the following:

1. To allow my daughter, Rose Ann C. Barlis, to take her On-the-Job Training (OJT) at
Manulife Philippines for 600 hours in partial fulfillment for the degree in BS in Business
Administration;

2. I have read the rules and regulations set by the host training establishment and the
University and commit that my daughter will abide by the said rules and regulations;

3. I fully and voluntarily waive my right to hold Wesleyan University- Philippines or any of its
officers, employees or representatives responsible for any case of untoward incident that
may happen to my daughter during her training.

CRISTINA C. BARLIS 12 JANUARY 2023


Signature over printed name of parent/guardian Date signed

PROF. ANTONIO JOSE D. CELIS 12 JANUARY 2023


Signature over printed name of Practicum Adviser Date signed

ATTY. ELIJAH B. BACTOL


Notary Public
Doc. No. 38 Commission Serial No. 07-22
Page No. VIII Until December 31, 2023
Book No. V Roll of Attorney 74375
Series of 2023 IBP No. 185304 24February2022
PTR No. 8129299 09January2023
MCLE Compliance No. VII-0020045 valid
until 14 April 2025

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