ASIAN INSTITUTE OF MARITIME STUDIES

Pasay City

Center for Student Services and Development

Admissions Office

WAIVER FORM - COMMITMENT TO COMPLY WITH ISHIHARA TEST AND MEDICAL REQUIREMENTS

Pursuant to CMO 67 s. 27 and STCW Table A-1/9 requiring seafarers to comply with the internationally
agreed color vision standards, I, ______________________________, parent/guardian of
_________________________ hereby commit the following;

1.) That, the enrollment of my son/daughter in BS Marine Transportation/Engineering academic program

in Asian Institute of Maritime Studies is temporary/pending until the result of his/her Ishihara Test.
2.) That, online result will be revalidated once face to face encounter is permitted and allowed.
3.) That, in case the result of the color vision test is unfavorable, my son/daughter will be willingly transfer
to another academic program that AIMS offers.

By affixing my signature, I hereby acknowledge and attest that we were informed by AIMS relative to the
“color vision” and pre-medical standard requirement with which the school adheres, and failure from such
will result to disqualification of my son/daughter from the maritime academic program herein above
stated.

Conforme:

_____________________________________ ________
Parent/ Guardian’s Signature over Printed Name Date

______________________________________ ________
Student’s Signature over Printed Name Date