CIVIL ENGINEERING

DEPARTMENT
2nd Floor OZ Building
900 San Marcelino Street, Ermita Manila 1000
Phone (632) 524.20.11 local 407

WAIVER FOR PRACTICUMER

This waiver is being executed in connection with the Practicum that Magpayo, Kamila Therese
R., a BS Civil Engineering student from Adamson University, has requested and which
TRIGOLD Bensons Development Corporation has accepted and confirmed.
The student/practitioner has been granted permission by Theresa R. Magpayo and she therefore
agrees/conforms to the conditions, rules and regulations of the institution and she accepts and
agrees to comply with the companys rules and regulations. It is also understood that there is no
employer-employee relationship between the practitioner and the company.
That while performing the practicum requirements, the company is free and harmless from any
liability whatsoever during the period of practicum or immediately thereafter while on the way to
and/or from the office of the practicum center, to perform the practicum or while performing the
same or while in the premises thereof.
This waiver will be in effect for the duration of Office Practitioner schedule where at least 240
hours will be spent in the company.

Kamila Therese R. Magpayo

Student/Practitioner

Theresa R. Magpayo
Parent/Guardian

Engr. Crispin S. Lictaoa

Adviser

Mr. Ben DP. Barros

General Manager

Education
with a