Nstp Form 13-Authorization Paper

ST. LOUIS UNIVERSITY
NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE

SCHOOL OF TEACHER EDUCATION

Gonzaga Campus, Gen. Luna Rd.,
2600 Baguio City
Tel: [phone]
Email: [e-mail] / [e-mail]

PARENT’S AUTHORIZATION FOR GUARDIANS OF OWN CHILDREN
OTHER THAN THEMSELVES

To St. Louis University:

This is to authorize_______________________________,of _________________________________ (Name of guardian) (address of guardian) the _______________________________of our child ____________________________who is studying in (relationship of guardian to the child) (Name of child)
St Louis University, to act as the guardian of our child; to sign all documents, papers or waivers that require parent’s signature in accordance with SLU policies, and do all other things in connection thereof. We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by the above guardian.

Signed:

______________________________ (and/or ) ________________________________ Name and Signature of Father Name and Signature of Mother
Date:______________________ Date:______________________
Conforme:
__________________________ ________________________________
Name and Signature of Guardian Name and Signature of Child
Date:______________________ Date:______________________
NOTE: required attachment –photocopy of two ID’s of parents and two ID’s of the guardian. The ID’s should bear the picture, address and signature of the parent or the guardian. At least one of the two ID’s should be government issued ID. On the photocopy, parents and guardians should counter certify their ID’s by attaching their signature beside the photocopy of their ID in original hand/ink.

ST. LOUIS UNIVERSITY
NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE

SCHOOL OF TEACHER EDUCATION

Gonzaga Campus, Gen. Luna Rd.,
2600