PAMANTASAN NG LUNGSOD NG MAYNILA

(University of the City of Manila)

Intramuros, Manila

Office of Student Development and Services

Name of Approved Activity PLM JFINEX LEADERSHIP TRAINING SEMINAR 2017

Date and Time SEPTEMBER 3, 2017 9:00 AM TO 3:00 PM
Venue/s POWER LINK, MARBELLA BUILDING ROXAS
BOULEVARD
Name of Adviser PROFESSOR MELVIN JASON DE VERA

This is to certify that I allow my son/daughter/ward, (Name) _______________________________,a

(Year & Course)________________________________________ student from the College of
Business and Management with student number _________________ to join the Leadership Training
Seminar 2017 on September 03, 2017 at Power Link, Marbella Building Roxas Boulevard
I voluntarily and knowingly waive all rights and causes of actions against Pamantasan ng Lungsod ng
Maynila, its faculty members, employees, officials, and administrators, except for liabilities arising
from injuries and damages caused by gross negligence on the part of the university.
I further certify that I allow my son/daughter/ward to contribute ___________for the said undertaking.
In case of emergency, please contact:
Name of Contact Person: _______________________________________________
Relationship to student: ________________________________________________
Contact Number/s: ____________________________________________________

______________________________
Signature Over Printed Name
Relationship to Student: __________________
Date: ________________

Attachments
Copy of signatory’s identification card with signature
Copy of affidavit of guardianship (for guardians)
To be accomplished by Adviser
Received by:

Date and time received

 PAMANTASAN NG LUNGSOD NG MAYNILA
(University of the City of Manila)
Intramuros, Manila
COLLEGE OF BUSINESS AND MANAGEMENT

AFFIDAVIT OF GUARDIANSHIP

Date: ___________________

To Whom It May Concern:

I, ______________________________ guarantees that I am the guardian of _________________

____________ because his/her parent/s is/are not capable of giving permission and signing the waiver

due to:

Deceased
OFW/s
Out of the country
Others. Please Specify: ____________________

And has the right to make decisions in behalf of his/her parents.

Respectfully Yours,

____________________________
(Signed over Printed Name)
Guardian