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SLU NSTP Form 13 (May 2011)

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE


SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd., 2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807 Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

ST. LOUIS UNIVERSITY

PARENTS AUTHORIZATION FOR GUARDIANS OF OWN CHILDREN OTHER THAN THEMSELVES To St. Louis University: This is to authorize_______________________________,of _________________________________
(Name of guardian) (relationship of guardian to the child) (Name of child) (address of guardian)

the _______________________________of our child ____________________________who is studying in St Louis University, to act as the guardian of our child; to sign all documents, papers or waivers that require parents signature in accordance with SLU policies, and do all other things in connection thereof. We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by the above guardian. Signed: ______________________________ Name and Signature of Father Date:______________________ Conforme: __________________________ Name and Signature of Guardian Date:______________________ (and/or ) ________________________________ Name and Signature of Mother Date:______________________ ________________________________ Name and Signature of Child Date:______________________

NOTE: required attachment photocopy of two IDs of parents and two IDs of the guardian. The IDs should bear the picture, address and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents and guardians should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink.
SLU-NSTP Form 13 (May 2011)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE


SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd., 2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807 Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS AUTHORIZATION FOR GUARDIANS OF OWN CHILDREN OTHER THAN THEMSELVES To St. Louis University: This is to authorize_______________________________,of _________________________________
(Name of guardian) (relationship of guardian to the child) (Name of child) (address of guardian)

the _______________________________of our child ____________________________who is studying in St Louis University, to act as the guardian of our child; to sign all documents, papers or waivers that require parents signature in accordance with SLU policies, and do all other things in connection thereof. We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by the above guardian. Signed: ______________________________ Name and Signature of Father Date:______________________ Conforme: __________________________ Name and Signature of Guardian Date:______________________ (and/or ) ________________________________ Name and Signature of Mother Date:______________________ ________________________________ Name and Signature of Child Date:______________________

NOTE: required attachment photocopy of two IDs of parents and two IDs of the guardian. The IDs should bear the picture, address and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents and guardians should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink.

SLU-NSTP Form 13 (May 2011)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE


SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd., 2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807 Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS AUTHORIZATION FOR OWN CHILDREN TO ACT AS GUARDIAN TO THEMSELVES To St. Louis University: This is to authorize our child _____________________________________who is studying in (name of child) St Louis University but having no guardian other than ourselves, to sign, in our behalf, all documents, papers or waivers requiring our signature as parents/guardians in accordance with SLU policies and do all other things in connection thereof. We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by our child. Signed: ______________________________ Name and Signature of Father Date:______________________ (and/or ) ________________________________ Name and Signature of Mother Date:______________________

Conforme:____________________________ Date:______________________
Name and Signature of Child
NOTE: required attachment photocopy of two IDs of parents. The IDs should bear the picture, address and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink.

SLU-NSTP Form 13 (May 2011)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE


SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd., 2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807 Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS AUTHORIZATION FOR OWN CHILDREN TO ACT AS GUARDIAN TO THEMSELVES To St. Louis University: This is to authorize our child _____________________________________who is studying in (name of child) St Louis University but having no guardian other than ourselves, to sign, in our behalf, all documents, papers or waivers requiring our signature as parents/guardians in accordance with SLU policies and do all other things in connection thereof. We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by our child. Signed: ______________________________ Name and Signature of Father Date:______________________ (and/or ) ________________________________ Name and Signature of Mother Date:______________________

Conforme:____________________________ Date:______________________
Name and Signature of Child
NOTE: required attachment photocopy of two IDs of parents. The IDs should bear the picture, address and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink.

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