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Parent's/Guardian's Certification of Permission/Waiver For Class Pictorial and Graduation Pictorial

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Bicol University

COLLEGE OF ENGINEERING
Legazpi City, 4500

Parent’s/Guardian’s Certification of Permission/Waiver


for Class Pictorial and Graduation Pictorial

This is to certify that I am giving consent to my son/daughter, ________________, a _th year BS


____________ student of Bicol University College of Engineering with Student No. _______, to
undertake the class pictorial at Bicol University-Main Campus and graduation pictorial at Bicol
University College of Engineering Gymnasium on April _, 2022 and April/May _, 2022,
respectively.

I understand that he/she shall abide by the rules and regulations that may be required by the Bicol
University College of Engineering Graduation Pictorial and Yearbook Working Committee and
university staffs for his/her welfare and safety during the conduct of the aforementioned activity.

I fully agree to waive any responsibility and discharge the Bicol University from all actions,
proceedings, suits, costs, claims, and demands that I might have for any loss, damage, injury
(including death) of whatsoever nature that is not the result of any negligent act or willful default
of an employee or agent of the school. As a person of legal age, he is fully aware of his/her duty
to be responsible for his actions as they proceed with this undertaking.

__________________ ________________________
Name of Student Signature

____________________ ________________________
Name of Parent/Guardian Signature

Month Day, Year______


Date

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