Republic of the Philippines

MIND AN AO STATE UNIVERSI TY

Fatima, General Santos City

COLLEGE OF AGRICULTURE

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

That Kearly Joy Z. Victorio, a Filipino, a legal age, single and a resident of Octavio Village,
Cannery Site, Polomolok, South Cotabato, is a student of Mindanao State University General Santos
City.

That he/she intends to undertake his/her work experience during June to July 2019 at
Mindanao State University General Santos City and Its service areas as requirements for the
completion of the course AGM 097 [Practicum (In-Campus) in Agronomy).

That said Kearly Joy Z. Victorio shall not hold Mindanao State University General Santos City
or any of its personnel responsible or liable for any injury or damage that he/she suffers by reasons
of/on any on the occasion of the training.

IN WITNESS THEREOF, the parties hereunto affixed their signature this day of June,
2019 at General Santos City.

MINDANAO STATE UNIVERSITY

General Santos City KEARLY JOY Z. VICTORIO
Student

BY: With my/our consent

___LYDIA VICTORIO___
Parents/Guardians

ACKNOWLEDGEMENT

Republic of the Philippines)

)s.s
x------------------------------x

Before me personally appeared this day of ______________ day of ___________, 20 ____ at

General Santos City the following persons with their respective residence certificate as indicated
below:

Name Res. Cert. Number Issued at Issued on

1.
2.

Know to me to be the same persons who executed the foregoing instrument and they
acknowledge to me that the same is their free act and voluntary deed.
WITNESS MY HANDS AND NOTARIAL SEAL.
DOC. No.
Page No.
Book No.
Series of.
 Republic of the Philippines
MIND AN AO STATE UNIVERSI TY
Fatima, General Santos City

COLLEGE OF AGRICULTURE

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

That Patricia Mae J. Humbe, a Filipino, a legal age, single and a resident of Block 2, Purok
Jamila, Poblacion, Polomolok, South Cotabato, is a student of Mindanao State University General
Santos City.

That he/she intends to undertake his/her work experience during June to July 2019 at Mindanao
State University General Santos City and Its service areas as requirements for the completion of the
course AGM 097 [Practicum (In-Campus) in Agronomy).

That said Patricia Mae J. Humbe shall not hold Mindanao State University General Santos City
or any of its personnel responsible or liable for any injury or damage that he/she suffers by reasons
of/on any on the occasion of the training.

IN WITNESS THEREOF, the parties hereunto affixed their signature this day of June,
2019 at General Santos City.

MINDANAO STATE UNIVERSITY

General Santos City PATRICIA MAE J. HUMBE
Student

BY: With my/our consent

___ARSENIA HUMBE ___

Parents/Guardians

ACKNOWLEDGEMENT

Republic of the Philippines)

)s.s
x------------------------------x

Before me personally appeared this day of ______________ day of ___________, 20 ____ at

General Santos City the following persons with their respective residence certificate as indicated below:

Name Res. Cert. Number Issued at Issued on

1.
2.

Know to me to be the same persons who executed the foregoing instrument and they
acknowledge to me that the same is their free act and voluntary deed.
WITNESS MY HANDS AND NOTARIAL SEAL.
DOC. No.
Page No.
Book No.
Series of.
 Republic of the Philippines
MIND AN AO STATE UNIVERSI TY
Fatima, General Santos City

COLLEGE OF AGRICULTURE

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

That Anna Lyn Aquillero Nono, a Filipino, a legal age, single and a resident of Prk. San Vicente,
Brgy. Baluan, General Santos City, is a student of Mindanao State University General Santos City.

That he/she intends to undertake his/her work experience during June to July 2019 at Mindanao
State University General Santos City and Its service areas as requirements for the completion of the
course AGM 097 [Practicum (In-Campus) in Agronomy).

That said Anna Lyn Aquillero Nono shall not hold Mindanao State University General Santos
City or any of its personnel responsible or liable for any injury or damage that he/she suffers by reasons
of/on any on the occasion of the training.

IN WITNESS THEREOF, the parties hereunto affixed their signature this day of June,
2019 at General Santos City.

MINDANAO STATE UNIVERSITY

General Santos City ANNA LYN AQUILLERO NONO
Student

BY: With my/our consent

___MARION AQUILERO NONO ___

Parents/Guardians

ACKNOWLEDGEMENT

Republic of the Philippines)

)s.s
x------------------------------x

Before me personally appeared this day of ______________ day of ___________, 20 ____ at

General Santos City the following persons with their respective residence certificate as indicated below:

Name Res. Cert. Number Issued at Issued on

1.
2.

Know to me to be the same persons who executed the foregoing instrument and they
acknowledge to me that the same is their free act and voluntary deed.
WITNESS MY HANDS AND NOTARIAL SEAL.
DOC. No.
Page No.
Book No.
Series of.
 Republic of the Philippines
MIND AN AO STATE UNIVERSI TY
Fatima, General Santos City

COLLEGE OF AGRICULTURE

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

That Jea Mae G. Pagal, a Filipino, a legal age, single and a resident of Sitio Guadalupe, San
Isidro, Koronadal City, is a student of Mindanao State University General Santos City.

That he/she intends to undertake his/her work experience during June to July 2019 at Mindanao
State University General Santos City and Its service areas as requirements for the completion of the
course AGM 097 [Practicum (In-Campus) in Agronomy).

That said Jea Mae G. Pagal shall not hold Mindanao State University General Santos City or
any of its personnel responsible or liable for any injury or damage that he/she suffers by reasons of/on
any on the occasion of the training.

IN WITNESS THEREOF, the parties hereunto affixed their signature this day of June,
2019 at General Santos City.

MINDANAO STATE UNIVERSITY

General Santos City JEA MAE G. PAGAL
Student

BY: With my/our consent

___JENNIFER G. PAGAL ___

Parents/Guardians

ACKNOWLEDGEMENT

Republic of the Philippines)

)s.s
x------------------------------x

Before me personally appeared this day of ______________ day of ___________, 20 ____ at

General Santos City the following persons with their respective residence certificate as indicated below:

Name Res. Cert. Number Issued at Issued on

1.
2.

Know to me to be the same persons who executed the foregoing instrument and they
acknowledge to me that the same is their free act and voluntary deed.
WITNESS MY HANDS AND NOTARIAL SEAL.
DOC. No.
Page No.
Book No.
Series of.
 Republic of the Philippines
MIND AN AO STATE UNIVERSI TY
Fatima, General Santos City

COLLEGE OF AGRICULTURE

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

That Kenneth Joy S. Pillo, a Filipino, a legal age, single and a resident of Sitio Paraiso Brgy.
Guinsang-an Sto Nino So. Cot., is a student of Mindanao State University General Santos City.

That he/she intends to undertake his/her work experience during June to July 2019 at Mindanao
State University General Santos City and Its service areas as requirements for the completion of the
course AGM 097 [Practicum (In-Campus) in Agronomy).

That said Kenneth Joy S. Pillo shall not hold Mindanao State University General Santos City or
any of its personnel responsible or liable for any injury or damage that he/she suffers by reasons of/on
any on the occasion of the training.

IN WITNESS THEREOF, the parties hereunto affixed their signature this day of June,
2019 at General Santos City.

MINDANAO STATE UNIVERSITY

General Santos City KENNETH JOY S. PILLO
Student

BY: With my/our consent

___ LOIDA M. PILLO ___

Parents/Guardians

ACKNOWLEDGEMENT

Republic of the Philippines)

)s.s
x------------------------------x

Before me personally appeared this day of ______________ day of ___________, 20 ____ at

General Santos City the following persons with their respective residence certificate as indicated below:

Name Res. Cert. Number Issued at Issued on

1.
2.

Know to me to be the same persons who executed the foregoing instrument and they
acknowledge to me that the same is their free act and voluntary deed.
WITNESS MY HANDS AND NOTARIAL SEAL.
DOC. No.
Page No.
Book No.
Series of.
 Republic of the Philippines
MIND AN AO STATE UNIVERSI TY
Fatima, General Santos City

COLLEGE OF AGRICULTURE

WAIVER

KNOW ALL MEN BY THESE PRESENTS:

That Marje Fearl B. Panal, a Filipino, a legal age, single and a resident of Phase 1 , Purok 13,
Carcon Village, Barangay Lagao, General Santos City, is a student of Mindanao State University
General Santos City.

That he/she intends to undertake his/her work experience during June to July 2019 at Mindanao
State University General Santos City and Its service areas as requirements for the completion of the
course AGM 097 [Practicum (In-Campus) in Agronomy).

That said Marje Fearl B. Panal shall not hold Mindanao State University General Santos City
or any of its personnel responsible or liable for any injury or damage that he/she suffers by reasons
of/on any on the occasion of the training.

IN WITNESS THEREOF, the parties hereunto affixed their signature this day of June,
2019 at General Santos City.

MINDANAO STATE UNIVERSITY

General Santos City MARJE FEARL B. PANAL
Student

BY: With my/our consent

___ANNA MARIE D. BERDIDA (Aunt)___

Parents/Guardians

ACKNOWLEDGEMENT

Republic of the Philippines)

)s.s
x------------------------------x

Before me personally appeared this day of ______________ day of ___________, 20 ____ at

General Santos City the following persons with their respective residence certificate as indicated below:

Name Res. Cert. Number Issued at Issued on

1.
2.

Know to me to be the same persons who executed the foregoing instrument and they
acknowledge to me that the same is their free act and voluntary deed.
WITNESS MY HANDS AND NOTARIAL SEAL.
DOC. No.
Page No.
Book No.
Series of.