OFFICE OF STUDENT AFFAIRS

ATENEO DE NAGA UNIVERSITY

City of Naga 4400

PARENT’S PERMIT
Title of Activity: JPIA-ADNU Practice for Intramurals 2023 Organizing Group/Office/Class:. JPIA-AdNU
Inclusive Dates: March 2023
Venue/Address: Naga Central School 1
Nature/Type of Activity (Please check one or more items that apply to the activity.)
[ ] Conference/Seminar/Training/Meeting [ ] Retreat/Recollection/Religious activities
[/] Rehearsal/Practice/Preparations [ ] Community Outreach/Exposure
[ ] Socials [/] Sports-Related/Strenuous physical activities; Please specify : Tryouts ,
[ ] Field Trip/Tour [ ] Other/s:
I/We hereby confirm to attend the aforementioned activity, and exercise due diligence of a good parent, as required by law, in supervising the
implementation of the school and activity’s rules and regulations, and looking after the safety and well-being of the participants, especially the students.

College/Office/Department: Department of Accountancy

EMMANUEL P. CUADRO, CPA Contact No: 09488980837
Moderator/Faculty/Staff Representative
Signature Over Printed Name Date Signed: January 2023
TO THE PARENT/GUARDIAN: Please check one of the options below to confirm your permission or non-permission of your child/ward’s attendance to the activity.
[/] I am permitting my son/daughter/ward to join the above activity. I recognize that the University is committed to exercise due diligence to ensure my
child/ward’s safety and well-being. However, I understand that the University is not an insurer of all risks and eventualities. Hence, I hereby confirm
that I have reminded my child/ward to follow all the rules and regulations of the school and activity. Should there be any untoward incident as a result
of his/her noncompliance of any rules and regulations, negligence, imprudence, or lack of care, I shall not hold the school responsible for any harm or
damage upon him/her in the course of the aforementioned activity. 
[ ] I am not permitting my son/daughter/ward to join the above activity because_________________________________________________________.

Permitted: I attest to the fact that I secured the permission of my parent/guardian as

evidenced by his/her signature.

_______GLADYS S. SIBULO___________
Parent/Guardian
NICOLE ANNE S. SIBULO ✔️ Fully Vaccinated
Signature Over Printed Name □ With Booster
ADNU Student
□ Partial Vaccination
Signature Over Printed Name
Relation to Student: [ / ] Mother [ ] Father [ ] Others: Pls. Specify:
Student I.D. No: 202010023
________
Address: Zone 2A Antipolo, Minalabac, Camarines Sur Year & Course: 3 - BSA
Contact No: 09509071951 Date Signed: March 18, 2023 Contact No: 09701168765 Date Signed: March 18, 2023
OSA-SF-01C Revised
20160

OFFICE OF STUDENT AFFAIRS

ATENEO DE NAGA UNIVERSITY
City of Naga 4400

PARENT’S PERMIT
Title of Activity: JPIA-ADNU Practice for Intramurals 2023 Organizing Group/Office/Class:. JPIA-AdNU
Inclusive Dates: March 2023
Venue/Address: Naga Central School 1
Nature/Type of Activity (Please check one or more items that apply to the activity.)
[ ] Conference/Seminar/Training/Meeting [ ] Retreat/Recollection/Religious activities
[/] Rehearsal/Practice/Preparations [ ] Community Outreach/Exposure
[ ] Socials [/] Sports-Related/Strenuous physical activities; Please specify : ,
[ ] Field Trip/Tour [ ] Other/s:
I/We hereby confirm to attend the aforementioned activity, and exercise due diligence of a good parent, as required by law, in supervising the
implementation of the school and activity’s rules and regulations, and looking after the safety and well-being of the participants, especially the students.

College/Office/Department: Department of Accountancy

EMMANUEL P. CUADRO, CPA Contact No: 09488980837
Moderator/Faculty/Staff Representative
Signature Over Printed Name Date Signed: January 2023
TO THE PARENT/GUARDIAN: Please check one of the options below to confirm your permission or non-permission of your child/ward’s attendance to the activity.
[ ] I am permitting my son/daughter/ward to join the above activity. I recognize that the University is committed to exercise due diligence to ensure my
child/ward’s safety and well-being. However, I understand that the University is not an insurer of all risks and eventualities. Hence, I hereby confirm
that I have reminded my child/ward to follow all the rules and regulations of the school and activity. Should there be any untoward incident as a result
of his/her noncompliance of any rules and regulations, negligence, imprudence, or lack of care, I shall not hold the school responsible for any harm or
damage upon him/her in the course of the aforementioned activity. 
[ ] I am not permitting my son/daughter/ward to join the above activity because_________________________________________________________.

Permitted: I attest to the fact that I secured the permission of my parent/guardian as

evidenced by his/her signature.

_______GLADYS S. SIBULO___________
Parent/Guardian
NICOLE ANNE S. SIBULO ✔️ Fully Vaccinated
Signature Over Printed Name □ With Booster
ADNU Student
□ Partial Vaccination
Signature Over Printed Name
Relation to Student: [/] Mother [ ] Father [ ] Others: Pls. Specify: ________ Student I.D. No: 202010023
Address: Zone 2A Antipolo, Minalabac, Camarines Sur Year & Course: 3 - BSA
Contact No: 09509071951 Date Signed: March 18, 2023 Contact No: 09701168765 Date Signed: March 18, 2023
OSA-SF-01C Revised 2016