ANNEX A

SURETY AGREEMENT FOR UPM College of ___________________

RETURN SERVICE OF THE STUDENTS/GRADUATES
This Agreement executed at ______(place)______________ on _____ (date)__________
by ________(name of surety)_____________________, Filipino, of legal age, singe/married to
_______________________ , with residence and postal address at
_____________________________________________, hereinafter referred to as "urety", in
fa!or of the "ni!ersity of the #hilippines $anila %ollege of ______________________, with
principal office at ________________ hereinafter referred to as "#$ %ollege of
__________________&
'()*)A, ______(name of student)_________________ (hereinafter referred to as
"#rincipal"), a student of the "#$ %ollege of _____________________, executed the attached
*eturned er!ice Agreement ("*A") with "#$ %ollege of _____________________ on
______(date of *A)________, to which this urety Agreement is appended as A++), "A"&
'()*)A, "#$ %ollege of ________________ re-uires that the due and faithful
performance of the pro!isions of the said *A be underwritten by a urety&
+.', T()*)F.*), for and in consideration of the foregoing, the undersigned urety,
/ointly and se!erally with the #rincipal, hereby guarantee and warrant to the "#$ %ollege of
________________ that the principal shall comply with and perform all the stipulations
contained in the *A, and that if for any reason the #rincipal fails to comply therewith, the
urety binds himself /ointly and se!erally with the #rincipal&
"To reimburse the "#$ %ollege of _____________ twice in full of such amount/s as it
may ha!e defrayed for the #rincipal0s tuition, go!ernment subsidy and scholarship, and all other
expenses incurred by the "#$ %ollege of _________________________& in connection with
and/or as an incident of the tudent0s admission to the "#$ %ollege of
_________________________ with interest at the pre!ailing legal rate at the time of the breach
of the foresaid *A1"
The liability of the urety under this Agreement shall be solidary, direct and immediate
and not contingent upon the enforcement by the "#$ %ollege of ____________________ of
whate!er remedies it may ha!e against the #rincipal, and the urety shall at anytime on demand,
pay to the "#$ %ollege of _________________ whate!er amount is owing from the #rincipal to
the "#$ %ollege of _____________ to the extent stated abo!e1
This instrument is intended to be a complete and free indemnity to the "#$ %ollege of
___________________ for any indebtedness or liability of the #rincipal arising from the *A1
2t shall be !alid and binding without further notice to the urety, until the #rincipal has complied
with all his/her obligations under the said *A1
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IN WITNESS WHEREOF, the urety has caused its authori3ed representati!e to set
his/her hand this _______(day) of ___________,45671

_______________________________ ____________________________
SURETY (Fate!" SPOUSE (Mote!"
______________________________
a#$/o! %egal G&a!$'a#
igned in the presence of8
____________________________________ ____________________________________
*epublic of the #hilippines)
%ity of $anila ) 11
AC(NOW%EDGMENT
9)F.*) $), a +otary #ublic for and in the %ity of $anila, #hilippines, personally appeared
_____________________
and ____________________________ who exhibited to me their competent proof of identities
indicated below8
+ame :o!ernment 2ssued 2; ;ate < #lace of 2ssue
________________________ _______________________ ________________________
________________________ _______________________ ________________________
________________________ _______________________ ________________________
and who =nown to me to be the same persons who executed the foregoing instrument and
ac=nowledged to me that the same is their free !oluntary act and deed and that of the institutions
they respecti!ely represent1
This instrument refers to the urety Agreement for "# %ollege of _________________ *eturn
er!ice of tudents/:raduate consisting of two (4) pages, including this page wherein this
Ac=nowledgment is written and signed by the parties and their instrumental witnesses1
'2T+) $> (A+; A+; +.TA*2A? )A?, on the date and place first mentioned1
+.TA*> #"9?2%
;oc1 +o ____
#age +o1 ___
9oo= +o1 ___
eries of 4567
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