Republic of the Philippines
Department of Education
                                 Division of CEBU PROVINCE
                              DISTRICT 1 of CONSOLACION
                         TUGBONGAN ELEMENTARY SCHOOL
                                 Tugbongan, Consolacion, Cebu
                                       WAIVER
I Mr./Ms. ___________________________________________ Father /Mother /Legal
guardian of ________________________________________, Grade_____________
Section _________________, do hereby undertake:
   1. That I did not submit the NSO/PSA Birth certificate of my child, which is one of
      the requirements of the school during enrolment;
   2. That the teacher reminded me to submit the said document but due to some
      reason, I have not complied;
   3. That I/we hereby undertake that I will not hold the school liable to any
      discrepancy on the data entry of my child’s documents.
          IN WITNESS WHEREOF, I have hereunto affixed my signature this              day of
                      , 20 , in the City/Municipality of                              ,
   Province of        .
                                                            Signature of Parents/Guardian