. Universityf PerpetuaHelpSystenLaguna rae ale 4 on PARENTAL CONSENT FOR LIMITED FACE-TO-FACE CLASSES NAME OF STUDENT: JHANA MA\ LLAPITAN PROGRAM OF STUDY: BACHELOR OF SCIENCE IN ACCOU ANCY PARENT’S/GUARDIAN’: NAME: MARILYN T. ALLAPITAN HOME ADDRESS: SANTA CATALINA, TUMAUINI, ISABELA T.ALLAPITAN, parent/guardian of JHANA MARIE T. ALLAPITAN, grant permission for my child/ward to participate in face-to-face classes in core and professional courses. Asa parent/guardian, | am aware: 1. of the University of Perpetual Help System Laguna Policies, Procedures and Guidelines (PPG) for limited face-to-face classes in core and professional courses; 2. that laboratory knowledge, methodologies ate best acquired and simulated in the laboratory itself, 3. that University of Perpetual Help System Laguna has ensured that classrooms, laboratories and other school facilities are retrofitted and that all their policies and procedures are in accordance with CHED and IATF regulations as regards the emergence of diseases: 4, that University of Perpetual Help System Laguna has endeavored to ens healthy learning environment; 5. that I shall be one with the University of Perpetwal Help System Laguaa in monitoring my child"s/ward's academic progress and medical condition, lure maintenance of a Finally, for any concern with my child/ward while in the University, | may be reached through this contact number/email address: 0991 UR MARILYN T. ALLAPITAN Signature over printed name of Parent/Guardian * Please attach signed photocopy of a valid ID SUBSCRIBED AND SWORN wo before me this 26 day of AUGUST, in the anneonanTiubabini. Isabela » Philippines, by the above-named Aifiant who is identified by me through a competent evidence of (his/her) identify. I further certify that the foregoing document was signed in my presence and that I have personally examined the Affiant and 1 am convinced that (Ihe/she) understood (his/her) statements as (his/her) free act and voluntary deedVERSITY OF PERPETUAL HELE svsTEM LaGuNAtsamcta BO CAMPUS Minante Une, Cauayan Cy EOF BUSINESS AND ACCO Co TANCY. Republic of the Philippines) x AFFIDAVIT OF UNDERTAKING |, MARILYN T._ALLAPITAN, of Iegal age, Filipino and a resident of SANTA CATALINA, TUMAUINI, ISABELA, after having been duly swor to in accordance with law, do hereby declare and say: L ‘That I am the parent/guardian of JUANA MALE T, ALLAPITAN. That my child, JHANA MARIE T, ALLAPITAN, is a4™ YEAR - ACCOUNTANCY (year level & course) student of the University of Perpetual Help System Laguna for Ist semester, AY 20222023; That the University has provided the option for my child to attend the LIMITED FACE-TO FACE CLASSES which will begin on August 15, 2022 until end of the 1 semester AY 20222023; c in the LIMITED FACE-TO-FACE CLASSES: That I am allowing my child to participa Thot as the parent/guardian of JUANA MARID T, ALLAPITAN, I am responsible for the application and/or registration of my child for PhilHealth or any medical insurance covering ‘expenses for COVID-19 in tions, Thot I hereby undersake to shoulder the costs of hospitalization, medication and other expenses related to the recovery of my child/ward in the event that he or she is infected by the virus thus, I, and its ‘exonerating the University of Perpetual Help System Laguna, the Members of the Boa ‘employees from any liability That Ihave read and understood the guidelines of the University For the conduct of the said activity and [ hereby undertake to follow the procedures necessary for my child to participate in the LIMITED FACE-TO-FACE CLASSES. That Iam executing this affidavit in order to attest the truth of the foregoing for all legal intents ‘and purposes FURTHER AFFIANT SAYETH NAUGHT IN WITNESS WHEREOF, I have hereunto set my hand th ‘TUMAUINI, ISABELA, Philippines. 267" day of AUGUST. in the Dh MARILYN 1. ALLAPITAN AFFILIANT SUBSCRIBED AND SWORN to before me this_26 day of inthe Philippines, by the above-named Affiant who is idenlified by me through a competent evidence of (hisher) identify. I further certify that the foregoing document was signed in my presence and that { have personally examined the Affiant and Iam convinced that (he/she) understood (his/her) statements as (his/her) free act and voluntary deed,ese UNIVERSITY OF PERPETUAL HELP SYSTEM LAGUNA- ISABELA CAMPUS Minante Uno, Cauayan City COLLEGE OF BUSINESS AND ACCOUNTANCY