Republic of the Philippines )

Universidad de Manila, Ermita, Manila ) S.S.

MEMORANDUM OF AGREEMENT

KNOWN ALL MEN BY THESE PRESENT:

This Agreement made and entered in this ____ day of ________,20___, at the Universidad De
Manila, Philippines, by and between:

_____________________, Filipino with residence address at

and

Dr. Virginia I. Berganio, Dean of Student Affairs, UDM, with postal address at Justice Cecilia
Munoz-Palma St, corner Antonio J. Villegas St, Mehan Gardens, Ermita, Manila (hereafter, the
“University” or “UDM”):

Witnesseth that:

WHEREAS, the UDM Scholar, in consideration of and as a condition for maintaining his/her
status as a student-scholar in “good standing” undertakes to abide by the conditions of UDM in
connection with his/her scholarship; and

WHEREAS, UDM requires the UDM Scholar to abide by all pertinent rules, regulations, orders
and issuances issued by the University in connection with the conduct and demeanor of its students,
the conditions of which are imperative for a student-scholar’s continued enjoyment of the privilege
of scholarship in UDM as provided hereunder.

NOW, THEREFORE in consideration of the foregoing premises, the parties herein agree to the
following terms and conditions:

1. The UDM Scholar is a bona fide student of the UDM taking up ______________________,
_________ Semester, for School Year ___________;

2. The UDM Scholar fully understands and is aware that he/she will strictly observe and abide
by Philippine Laws and UDM’s Code of Conduct and all pertinent rules, regulations, orders,
and issuances of the University;

3. The UDM Scholar agrees to subject himself/herself to the conduct of Random Drug Test
pursuant to the guidelines set by the Dangerous Drugs Board for Secondary and Tertiary
Students which aims at prevention and rehabilitation of drug users and dependent and agrees
to subject himself/herself to the conduct of random HIV tests pursuant to the guidelines that
may be set by R.A. 11166 and its implementing rules and regulations which aims to protect
and care for the young especially so because they are vulnerable to public health dangers. The
tests that may be conducted are not solely limited to those mentioned above subject to the
guidelines and implementing rules and regulations as may provided for under Philippine Law,
the primary concern of which is the general welfare of the student and/ or the public health;

4. The UDM Scholar shall observe and abide by the foregoing, which shall be enforced at any
time within the University’s campus, vicinity, or at University functions, events, or activities;

5. The UDM Scholar shall, at all instances wear the prescribed uniform or dress code in-campus
and off-campus (for any UDM sanctioned/official function, event, or activity;
6. The UDM Scholar shall at all times wear his/her official UDM Identification (ID) Card,
displayed at his/her left breast while inside the University’s premises, or at official or
sanctioned University functions, events or activities;

7. In addition to the foregoing, the UDM Scholar shall refrain from committing any form of
abusive conduct, arrogance, disrespect and/or discourtesy, gross disobedience, to any
University official, employee, faculty member or student;

8. The UDM Scholar shall not commit any-act against a University official, employee or faculty
member which may constitute a willful and utter disregard of their authority;

9. The UDM Scholar shall not bring inside the UDM’s premises in whatever form, any obscene
or pornographic objects, picture, media(s) (or literature (s), or materials that are or may be
considered as scandalous, morally offensive/appealing to prurient interests;

10. In connection with the immediately preceding paragraph, the UDM Scholar shall not engage
or participate in the preparation and/or publication of the abovementioned material;

11. The UDM Scholar shall not engage in any form of indecent or immoral conduct, nor be under
the influence of alcohol or prohibited drugs, within the University’s premises, its immediate
vicinity, nor at any official or sanctioned University function, event, or activity;

12. The UDM Scholar shall not bring into the premises of UDM its immediate vicinity, or at any
official or sanctioned University function, event, or activity, any alcoholic or intoxicating
beverages/substances, and prohibited drugs or paraphernalia;

13. The UDM Scholar shall hereby abide by the University’s strict “no smoking” policy, within
premises of UDM, its immediate vicinity, or at any official or sanctioned University function,
event, or activity;

14. The UDM Scholar shall not cause any unwarranted or unjustified disruption during school-
hours or during any official or sanctioned University function, event, or activity;

15. The UDM Scholar shall at all times observe orderliness and cleanliness within the University’s
premises;

16. That, I shall neither organize nor join any fraternity, sororities and/or similar sanctioned,
underground, secret or clandestine groups or organizations that requires hazing, or participate
in any initiation rite or practice as a prerequisite for admission into membership in said
fraternity, sorority group or organization, which places the recruit, neophyte or applicant in
some embarrassing or humiliating situations such as forcing him to do mental, silly, foolish
and other similar tasks or activities or otherwise subjecting him to physical or psychological
suffering or injury;

17. The UDM Scholar shall not engage in any form of cheating or plagiarism;

18. The UDM Scholar shall not engage in vandalism, or commit any act of willful destruction of
any University property, including but not limited to tearing-off, or defacing any library book,
magazine, or doors, electrical, mechanical, or electronic devices and unauthorized removal of
notices and posters from the bulletin board, and such other similar act;

19. The UDM Scholar shall not threaten, coerce, intimidate, or compel another student to be absent
from his/her classes, to participate in any illegal activity, to restrain him/his from participating
in any legal/activity;
20. The UDM Scholar shall not inflict upon any harm or injury to any student, or official, faculty
and employee of UDM, nor shall he/she threaten coerce, intimidate, or compel any faculty
member to give him/her grade which he/she do not deserve;

21. The UDM Scholar shall not bear, possess, or use any deadly weapon or explosive/pyrotechnic
of any kind within premises of UDM, its immediate vicinity, or at any official or sanctioned
University function, event, or activity;

22. The UDM Scholar shall uphold honesty and integrity at all times and shall not submit or
subscribe to any falsity or misleading statements in his/her official documents filed with the
University, nor will I publish, disseminate, or circulate false, malicious, and derogatory
material about the University, its officials, faculty members, employees, and students;

23. Moreover, he/she shall not commit any falsification or forgery of any kind including but not
limited to signatures, school records or credentials, or use the falsified/forge materials;

24. The UDM Scholar shall neither engage nor indulge in any form of betting or gambling, nor be
in possession of any gambling material, equipment, device, or paraphernalia in connection
therewith;

25. The UDM Scholar shall respect, observe, and abide by the University and its faculty’s
Academic Freedom;

26. The UDM Scholar shall not engage in any unauthorized solicitation;

27. The UDM Scholar acknowledges that, in addition to any action which may be instituted or
penalty which may be imposed under Philippine Laws, the University shall have the right to
initiate any disciplinary action in the event of any violation of UDM’s rules, regulations,
orders, and issuances, including the covenants hereof specified and impose upon the UDM
Scholar the corresponding penalty/sanction, including but not limited to reprimand,
suspensions, dismissal or expulsion- in accordance with the duly approved student manual;

28. The UDM Scholar hereby executes this Agreement freely and voluntarily, in his/her personal
capacity, or under the direct supervision and guidance of his/her parent/guardian
acknowledging that the terms and conditions hereof were fully explained to the UDM Scholar.

IN WITNESS WHEREOF, the parties have signed this Agreement on the date and at the place
first above-stated herein.

Universidad de Manila
By:

DR. VIRGINIA I. BERGANIO Signature over Printed Name of Student

Signature over Printed Name of