Scribd
Upload
11 views1 page

Inbound 7178989437711747553

This document is a consent form for Joshua S. Lagua, a Bachelor of Science in Chemical Engineering student at Cagayan State University, allowing him to conduct laboratory experiments. It outlines the terms and conditions he must adhere to, including compliance with institutional rules and liability waivers. The form is signed by both the student and his parent/guardian, indicating their approval and consent for the experiments.

Uploaded by

Joshua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
11 views1 page

Inbound 7178989437711747553

This document is a consent form for Joshua S. Lagua, a Bachelor of Science in Chemical Engineering student at Cagayan State University, allowing him to conduct laboratory experiments. It outlines the terms and conditions he must adhere to, including compliance with institutional rules and liability waivers. The form is signed by both the student and his parent/guardian, indicating their approval and consent for the experiments.

Uploaded by

Joshua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Cagayan State University – Carig Campus

Tel. No.(078) 304-1205 loc 035/036 Cp. No. 0906-8815946 Transforming Lives

PARENT/GUARDIAN’S CONSENT

JOSHUA S. LAGUA
I,____________________________________, SANTIAGO CITY, ISABELA
a resident of ________________________________,
hereby voluntarily agree to conduct laboratory experiments related to my degree, Bachelor of Science
in Chemical Engineering, under the following terms and conditions:
a. That I shall abide by all host institutions’ rules and regulations;
b. That I shall exercise care and diligence in any task assigned to me;
c. That I renounce and waive my claims against the Cagayan State University, De La Salle
University, and Adamson University for any injury due to my negligence while conducting
experiments and;
d. That I shall be made answerable for all liabilities for damage to property or injury to third
persons which my intentional or negligent acts may occasion during the one-week
experimentation.

6th day of March 2025.


Signed this ____

__________________________
JOSHUA S. LAGUA
Printed Name and Signature of Student
21-80051T
ID No.: ____________________

WITH THE CONSENT AND APPROVAL:

JOVITA S. LAGUA
__________________________
Printed Name and Signature of Parent/Guardian
CN933-22541
Res. Cert./ Valid ID No.: __________________
SANTIAGO CITY
Issued at: ______________________
12/06/2023
Issued on: ______________________

COEA-IGA
Innovative, Synthesis, Personal Responsibility, Empathy, Research Skill, Technopreneurial Skill

Educating for the Best

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy