Vice President for Academic Affairs

College of Information Technology and Computer Science

COLLEGE

January 31,
2017

Dear Parents/Guardians:

As partial requirement for the degree of Bachelor of Science in Computer Science, all graduating
students are required to undergo 150 hours On-the-Job Training program. Your son, CJ Boy T.
Mapangdol, will have his On-the-Job Training at 4k Software, located at Baguio City, from 8:00am to
5:00pm. The training will start from February 2017 to April 2017. This schedule may be changed if
warranted by circumstances.

Raymund E.
Dilan_____
Internship Adviser

WAIVER FOR ON-THE-JOB TRAINING / PRACTICUM

We are the parents/guardians of CJ Boy T. Mapangdol.

We have given him our permission to undergo On-the-Job Training as mentioned above. We are aware of
the risks that our son may be exposed to during his On-the-Job Training. Just the same, we allow him
without any reservation to undergo his OJT. Hence, we hereby voluntarily and expressly waive any and
all actions, claims, or demands against University of the Cordilleras (UC), its trustees, officers, teachers
and/or employees should our son suffer any injury or damages while he is undergoing the said training;
and we hold harmless the said University, its trustees, officers, teachers and/or employees from any
such action, claim or demand.

Similarly, I, CJ Boy T. Mapangdol, hereby voluntarily and expressly waive all actions, claims or
demands against University of the Cordilleras (UC), its trustees, officers, teachers, and/or employees
should I suffer any injury or damages while I am undergoing the said training; and I hold harmless the
said University, its trustees, officers, teachers and/or employees from any such action, claim or demand.

Signed this 15th day of February, 2017.

___________________________ ___________________________
Parent/Guardian Parent/Guardian
(Signature over printed name) (Signature over printed name )

_____________________________
Student
(Signature over printed name)