Parent Consent

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PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean-Up Drive at San Isidro National High School, Tagkawayan,
Quezon on April 11, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean-Up Drive at San Isidro National High School, Tagkawayan,
Quezon on April 11, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control.
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in the conduct of Seminar at San Isidro National High School,
Tagkawayan, Quezon on April 17, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in the conduct of Seminar at San Isidro National High School,
Tagkawayan, Quezon on April 17, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Aliji Elementary School, Tagkawayan, Quezon
on April 12, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Aliji Elementary School, Tagkawayan, Quezon
on April 12, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Feeding Program at Aliji Elementary School, Tagkawayan, Quezon
on April 17, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Feeding Program at Aliji Elementary School, Tagkawayan, Quezon
on April 17, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Feeding Program at Magais Elementary School on April 18, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Feeding Program at Magais Elementary School on April 18, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Magais Elementary School on April 17, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Magais Elementary School on April 17, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Sinuknipan Elementary School on April 18,
2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Sinuknipan Elementary School on April 18,
2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Feeding Program at Sinuknipan Elementary School on April 19,
2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Feeding Program at Sinuknipan Elementary School on April 19,
2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Seminar at Sinuknipan National High School on April 26, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Seminar at Sinuknipan National High School on April 26, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Sinuknipan National High School on April 22-
23, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Sinuknipan National High School on April 22-
23, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Del Gallego National High School on April 24-
25, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Del Gallego National High School on April 24-
25, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian
PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Seminar at Del Gallego National High School on April 26, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr. /Ms. ________________________________, legal age ___ years
old to participate in Seminar at Del Gallego National High School on April 26, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Del Gallego Central School on April 29-30,
2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Del Gallego Central School on April 29-30,
2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Feeding Program at Del Gallego Central School on May 2, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Feeding Program at Del Gallego Central School on May 2, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Sta. Rita De Casia Parish on May 3, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

PARENT CONSENT/WAIVER

I, Mr./ Mrs. / Ms. __________________________________, _____ years old, a


resident of and with postal address at
__________________________________________, Philippines, after having informed
regarding the Community Extension Service Program of all Criminology Interns as part
of their Criminology Practicum 2 (Community Immersion), do hereby give my consent to
my son/daughter Mr /Ms ________________________________, legal age ___ years
old to participate in Clean – Up Drive at Sta. Rita De Casia Parish on May 3, 2024.
With all the benefits that our son/daughter,
____________________________________, could derive from Community Extension
Service Program, I shall not hold the party concerned (Criminology Practicum Instructor)
or the Criminal Justice Education Department of Alfelor Senior Memorial College, its
official, faculty members and staff for any untoward incident that may happen beyond
their control
________________________________________
Signature over Printed Name of Parent / Guardian

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