Philippine Normal University
The National Center for Teacher Education
STUDENT AFFAIRS & SERVICES OFFICE
Taft Avenue, Manila
Telefax; (02) 5317-1768 loc. 713
Email Address: saso@[Link]
FGEEL-National Service Training Program-Literacy Training Service (NSTP-LTS-12)
NAME OF ORGANIZATION
Dear Parents/Guardians:
Your son/daughter has expressed his/her intentions of joining the NSTP 12 - Community Immersion
(TITLE OF ACTIVITY/EVENT)
sponsored by the FGEEL – NSTP 12 Classes to be held on
(NAME OF SPONSORING CLASS/ORGANIZATION) (DATE)
from October 2, 9, 16 23 to October 30, 2024 at Commodore Jose S. Francisco Foundation, Inc. Makati City
(TIME) (LOCATION: COMPLETE ADDRESS OF VENUE)
Please note that joining the activity will entail your son/daughter to stay in school or outside of the school premises,
accompanied/unaccompanied by a faculty adviser. Please be advised of your duties and responsibilities as provided in
the statement of consent and undertaking.
Should you allow your son/daughter to join the aforementioned activity, kindly fill-out the attached “Statement of
Parental Consent” and return to Prof. Christinn M. De Leon the NSTP Faculty/Facilitator
(NAME OF OFFICER) (POSITION IN THE ORGANIZATION)
of the_____________ Faculty of General Education and Experiential Learning
(FGEEL)___________________________________________________________________________________________________________________________
(NAME OF ORGANIZATION)
on or before _____________________________________September 23,
2024_______________________________________________________________________________________
(DEADLINE FOR SUBMISSION OF PERMIT TO JOIN / PARTICIPATE IN STUDENT ACTIVITY)
Sincerely yours, Noted:
PROF. CHRISTINN M. DE LEON DR. VICTORIA J. DELOS SANTOS
NAME OF FACULTY ADVISER ASSOCIATE DEAN/DEPUTY DEAN
(Signature Over Printed) (Signature Over Printed)
(All documents without the PNU QM Stamp or Control Identifier are uncontrolled)
Philippine Normal University
The National Center for Teacher Education
STUDENT AFFAIRS & SERVICES OFFICE
Taft Avenue, Manila
Telefax; (02) 5317-1768 loc. 713
Email Address: saso@[Link]
WAIVER FORM/PARENT PERMIT
VISIT / ENTRY TO _Commodore Jose S. Francisco Foundation, Inc. (AHA Learning Center)
Name of Student : NGITNGIT, JAEVEE JOI T.
Signature of Student : _____________________________________
Date Signed : September 23, 2024
Course/Year/Section : BCAED II-6
Contact Number : 09760058246
PhilHealth ID Number (if available) : ______________________________________
Person-in-charge : VICTORIA TAMANO
Contact Number : 09167274128
===================================================================
I am allowing my son/daughter to visit Commodore Jose S. Francisco Foundation, Inc.
on ___October (Wednesdays) from _October 2,9,16, 23 to __October 30, 2024__
with the purpose/s of participating in the NSTP 12 - Community Immersion
I fully understand that the Philippine Normal University or PNU is committed to undertake
the necessary measure to ensure the safety and well-being of my son/daughter, and exercise
the diligence of a good parent required of it under the law.
By allowing my son/daughter to visit Commodore Jose S. Francisco Foundation, Inc.
I acknowledge and accept all the risks to and from the University. With this, I waive and fully
release any and all rights or claim of any nature whatsoever, I may have against the
University, and its members, agents and employees, in connection with, or resulting upon
my son/daughter from visiting the __Commodore Jose S. Francisco
Foundation, Inc. (AHA Learning Center)__in Makati City
________________________________________________.
My signature below indicates that I DO NOT HOLD PNU ACOUNTABLE for any untoward
incident such as but not limited to illness, injury or damage that may occur as a result of
his/her visiting the the_Epifanio Delos Santos Elementary School (EDSES) 1725 Singalong
St. Malate Manila.
Printed Name of Parent : VICTORIA TAMANO
Signature of Parent :
Date Signed : SEPTEMBER 23, 2024
Contact Number : 09167274128
(All documents without the PNU QM Stamp or Control Identifier are uncontrolled)
Philippine Normal University
The National Center for Teacher Education
STUDENT AFFAIRS & SERVICES OFFICE
Taft Avenue, Manila
Telefax; (02) 5317-1768 loc. 713
Email Address: saso@[Link]
Note: Please attach photocopy of parent’s valid ID with signature, student’s vaccination ID(if available), and
PhilHealth ID (if child is still covered) and/or student’s Philhealth ID/Health insurance (if available)
Photocopy of parent’s valid ID
with signature
Student’s vaccination ID
(if available)
PhilHealth ID (if child is still
covered) and/or
student’s Philhealth ID/Health
insurance (if available)
(All documents without the PNU QM Stamp or Control Identifier are uncontrolled)
Philippine Normal University
The National Center for Teacher Education
STUDENT AFFAIRS & SERVICES OFFICE
Taft Avenue, Manila
Telefax; (02) 5317-1768 loc. 713
Email Address: saso@[Link]
(All documents without the PNU QM Stamp or Control Identifier are uncontrolled)
