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UNIVERSITY OF NUEVA CACERES

Document
Parent’s Permit Control No.:
UNC-FM-SA-
Form 02
Office of Student Affairs

I, ________________________________, parent/guardian of ___________________________________

(Name of parent) (Name of student)
hereby permits my son/daughter to join the ________________________________________________
(Nature of off-campus activity)
on _________________________ at _______________________________________________________
(Date) (Place)

Aware of all the possible risks, I hereby discharge the organizing group and the University of Nueva
Caceres from any liability from any incident caused in violation of the guidelines/house rules set by the
organizing group.

____________________________
Printed name of parents/guardian

___________________________
Signature

Effectivity Date: 11/02/2021 Revision No.: 0 Page No.: 1 of 1