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UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato
Philippines

PARENT’S/GUARDIAN’S ACKNOWLEDGEMENT

I / We, the parent(s) / guardian of Fauzia S. Mama, a 4th year of the Department of
Veterinary Technology, College of Veterinary Medicine, hereby acknowledge that I am / we are
fully aware that the required On-the-job Training (OJT) to be undertaken by my/our
son/daughter/ward is an integral part of the academic work leading to the completion of his/her
program leading to the degree of Bachelor of Science in Veterinary Technology offered by the
College.

Furthermore, I / we acknowledge the following:

That every co-curricular activity that my son/daughter/ward participates in involves risk


or risks which are beyond the control of the College / University;

That I / we fully believe that the management of the College / University leaves no
unturned stone to promote and safeguard the welfare and safety of my/our son/daughter/ward,
most especially during off-campus co-curricular activities, like this On-The-Job Training and;

That in case of any untoward incident that may possibly happen during the conduct of the
tour due to circumstances beyond the control of the faculty
adviser/supervisor/coach/chaperone(s), in particular and the University, in general, I/we shall
not hold them liable nor file a complaint against them.

ZENAIDA A. SULTAN
Signature over Printed Name
PARENT/GUARDIAN

SUBSCRIBED and SWORN to before this ____day of _______ 20___, with the affiant
exhibiting to me his/her Community Tax Certificate No._____, issued on _________________at
_____________________.

Doc No. __________


Page No. __________ NOTARY PUBLIC
Book No. __________
Series No. __________

USM-DIO-F17-Rev.0.2022.12.07

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