SLU NSTP

Form 13
(APRIL
2013)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE

SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd.,
2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807
Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS 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
parents 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:
______________________________
Name and Signature of Father
Date:______________________
Conforme:
__________________________
Name and Signature of Guardian
Date:______________________

(and/or )

______________________________
Name and Signature of Mother
Date:______________________
________________________________
Name and Signature of Child
Date:______________________

NOTE: required attachment photocopy of two IDs of parents and two IDs of the guardian. The IDs should bear the picture, address
and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents
and guardians should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink.
SLU-NSTP
Form 13
(APRIL
2013)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE

SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd.,
2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807
Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS 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
parents 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:
______________________________
Name and Signature of Father
Date:______________________
Conforme:
__________________________
Name and Signature of Guardian
Date:______________________

(and/or )

________________________________
Name and Signature of Mother
Date:______________________
________________________________
Name and Signature of Child
Date:______________________

NOTE: required attachment photocopy of two IDs of parents and two IDs of the guardian. The IDs should bear the picture, address
and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents
and guardians should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink.

SLU-NSTP
Form 13
(APRIL
2013)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE

SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd.,
2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807
Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS AUTHORIZATION FOR OWN CHILDREN

TO ACT AS GUARDIAN TO THEMSELVES
To St. Louis University:
This is to authorize our child _____________________________________who is studying in
(name of child)
St Louis University but having no guardian other than ourselves, to sign, in our behalf, all documents, papers
or waivers requiring our signature as parents/guardians 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 our child.
Signed:
______________________________
Name and Signature of Father
Date:______________________

(and/or )

________________________________
Name and Signature of Mother
Date:______________________

Conforme:____________________________ Date:______________________
Name and Signature of Child
NOTE: required attachment photocopy of two IDs of parents. The IDs should bear the picture, address and signature of the parent or
the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents should counter certify their IDs
by attaching their signature beside the photocopy of their ID in original hand/ink.

SLU-NSTP
Form 13
(APRIL
2013)

ST. LOUIS UNIVERSITY

NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE

SCHOOL OF TEACHER EDUCATION
Gonzaga Campus, Gen. Luna Rd.,
2600 Baguio City
Tel: (074) 4470664/09198807387/09163349807
Email: nstpcoor@slu.edu.ph / slunstp@yahoo.com

PARENTS AUTHORIZATION FOR OWN CHILDREN

TO ACT AS GUARDIAN TO THEMSELVES
To St. Louis University:
This is to authorize our child _____________________________________who is studying in
(name of child)
St Louis University but having no guardian other than ourselves, to sign, in our behalf, all documents, papers
or waivers requiring our signature as parents/guardians 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 our child.
Signed:
______________________________
Name and Signature of Father
Date:______________________

(and/or )

________________________________
Name and Signature of Mother
Date:______________________

Conforme:____________________________ Date:______________________
Name and Signature of Child
NOTE: required attachment photocopy of two IDs of parents. The IDs should bear the picture, address and signature of the parent or
the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents should counter certify their IDs
by attaching their signature beside the photocopy of their ID in original hand/ink.