UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato
Philippines

ACKNOWLEDGEMENT

I / We, the parent(s) / guardian of ____________________________________, a

student of the Department of Accountancy, College of Business, Development Economics and
Management, hereby acknowledge that I am / we are fully aware that the Annual Regional
Convention to be undertaken by my/our son/daughter/ward is an integral part of the academic
work leading to the proficiency and more in depth knowledge of my son/daughter of his/her
program leading to the degree of Bachelor of _____________________________ offered by
the College.

Furthermore, I / we acknowledge the following:

That every co-curricular activity that my son/daughter/ward participates in involves risk

or risks which are beyond the control of the College / University;

That I / we fully believe that the management of the College / University leaves no
unturned stone to promote and safeguard the welfare and safety of my/our
son/daughter/ward, most especially during off-campus co-curricular activities, like this Annual
Regional Convention and;

That in case of any untoward incident that may possibly happen during the conduct of
the summit due to circumstances beyond the control of the Annual Regional Convention
Coordinator or Supervisor and/or Faculty chaperone(s), in particular and the University, in
general, I / we shall not hold them liable nor file a complaint against them.

_________________________
Signature over Printed Name
PARENTS / GUARDIAN

SUBSCRIBED and SWORN to before this ____day of _______2019, with the affiant
exhibiting to me his/her Community Tax Certificate No.__________, issued on
_________________at _____________________.

Doc No. __________

Page No. __________ NOTARY PUBLIC
Book No. __________
Series No. __________

USM-OUP-F02