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Waiver To Undergo Polygraph Examination

Reymark Patnaan signed a waiver agreeing to undergo a polygraph examination conducted by the criminology department. The waiver stated that Reymark understood the polygraph process and that the results could be given to authorized persons. Reymark also agreed not to file any criminal or civil charges regarding the results. The waiver was signed in the presence of witnesses Cindy Sawey and examiner Kinie Jaynes Agageo.

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0% found this document useful (0 votes)
762 views2 pages

Waiver To Undergo Polygraph Examination

Reymark Patnaan signed a waiver agreeing to undergo a polygraph examination conducted by the criminology department. The waiver stated that Reymark understood the polygraph process and that the results could be given to authorized persons. Reymark also agreed not to file any criminal or civil charges regarding the results. The waiver was signed in the presence of witnesses Cindy Sawey and examiner Kinie Jaynes Agageo.

Uploaded by

Thug Kix
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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WAIVER TO UNDERGO POLYGRAPH EXAMINATION

DATE: June 17, 2023

I, REYMARK PATNAAN, with a current address at Brgy. Samoki, Bontoc,


Mountain Province, of legal age is willing to undergo Polygraph
Examination to be conducted by the MPSPC-Criminology Department. That
the process of undergoing polygraph examination was explained to me and
that I understand it clearly. The result of the examination can be given to
any authorized persons.

I am willing to undergo Polygraph Examination on my own FREE WILL. That


I do not have any Health Problems, Physical or Mental that can void the
result of such examination.

I will not file charges, Criminal and/or Civil, against anybody because of the
result of the examination.

Time: 10:40 am

REYMARK PATNA-AN
Name and Signature of the Subject

Witness:
Cindy S. Sawey

Kinie Jaynes Agageo


Name and Signature of Examiner

I am proving that I have undergone the Polygraph Examination on my own


FREE WILL, even though they have explained to me that I can stop the
examination anytime, by affixing my signature below.

Time: 11:10 am

REYMARK PATNA-AN
Name and Signature of the Subject

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