ࡱ> ILH{ bjbjrr 86jjrrkkkkk4,V"!!!!!!!B$&H!k!kk":::.kk!:!::V1 @ Mq !&"0V"} x@'@' @'k :!!V"@'r 1: 4 MEMORANDUM OF AGREEMENT KNOW ALL MEN BY THESE PRESENTS: This Memorandum of Agreement entered into on this _____ day of ________________ in ______________, by and between: The UNIVERSITY OF THE PHILIPPINES, the national university of the Philippines, a public and secular institution of higher learning, created by virtue of Act No. 1870, as amended and reorganized and operating by virtue of Republic Act No. 9500, through its constituent university, University of the Philippines Manila, and through the PHILIPPINE GENERAL HOSPITAL (911), with address at the Philippine General Hospital Complex, Taft Avenue, Manila, represented in this Agreement by the 911 Director, DR. GERARDO D. LEGASPI, hereinafter referred to as the HOSPITAL; - and - ________________________________, a medical graduate of ________________________________(name of the School), residing at ___________________________________________ hereinafter referred to as the INTERN WHEREAS, the HOSPITAL offers an intensive training program in internship to qualified selected medical graduates of different medical schools; WHEREAS, the Program integrates all relevant disciplines which interns are expected to undergo in order to attain the minimum standards of fitness and performance required for the National Internship Program; WHEREAS, the intern is willing to accept the benefits that he/she will derive from this Agreement without compensation, and intends to perform the accompanying obligations provided therein; NOW THEREFORE, for and in consideration of the foregoing, the HOSPITAL and the INTERN hereby enter into this Agreement subject to the following conditions: The Internship Training shall be for a period of one (1) year effective from __________________ to _________________, provided all pertinent requirements are submitted. The INTERN shall fully commit to the goal, policies and standards of the National Internship Program and the Philippine General Hospital. Any misconduct or breach of the rules and regulations of the HOSPITAL on the part of the INTERN shall be a ground for termination of the latters eligibility under this Agreement upon sufficient investigation and proof of misconduct or breach. As an alternative to the termination of the INTERNs training, the HOSPITAL shall have the right to discipline the INTERN and to impose such other measures as may be appropriate under the circumstances in accordance with all applicable laws. The INTERN shall be liable for the following if he/she preterminates his/her training without valid reason/s: He/She shall be permanently barred from any training program in the HOSPITAL. He/She shall not be employed in any capacity in the HOSPITAL. In case the INTERN will transfer to other accredited training institutions, the HOSPITAL shall issue a certificate of pre-termination of training. It is hereby expressly agreed and understood that the relationship between the HOSPITAL and the INTERN is purely and simply that of Trainor and Trainee without compensation, hence there exists no employer-employee relationship between them. This Agreement is considered terminated upon the INTERNs fulfillment of the requirements and consequent completion of training, withdrawal, resignation or removal/disqualification of the INTERN for cause; In case of conflict between the Parties arising from this Agreement, both Parties agree to freely and voluntarily submit themselves to necessary consultation and negotiation for purposes of amicable settlement and find a mutually acceptable solution to their dispute. Existing University policies on alternative dispute resolution shall be followed by the parties. Should the Parties fail to reach an amicable settlement of their dispute, the same shall be submitted to arbitration, in accordance with Republic Act No. 9285 or the ADR Law of 2004. However, should the dispute between the Parties reach the courts of law, the parties agree that the competent courts of Quezon City shall have exclusive jurisdiction over the same. No certificate of completion shall be issued in favor of the INTERN without this written agreement; Any other additional term that will be deemed necessary shall be agreed upon in writing by both parties and embodied in a Supplemental Agreement. IN WITNESS WHEREOF, the parties aforementioned have hereunto signed this Agreement on the date and at the place first above written. University of the Philippines Manila Philippine General Hospital By: GERARDO D. LEGASPI, M.D. _______________________ Director Medical Intern Signed in the Presence of: RONNIE E. BATICULON, MD, MS Coordinator for Training MARIE DIONE P. SACDALAN, MD Head, Integrated Training and Research Unit Republic of the Philippines) City of Manila ) S.S. ACKNOWLEDGEMENT BEFORE Me, a Notary Public for __________________ personally appeared on ________________________, the following persons, presenting to me their respective Competent Evidence of Identity, as indicated below: Name Government Issued ID No. Issued at / on (Passport, Drivers License, COMELEC Voters ID) DR. GERARDO D. LEGASPI PRC No. 0067806 Valid until Feb 2027 ________________________ _______________ ________________ (Medical Intern) Known to me and to me known to be the same person who executed the foregoing instrument and having acknowledged before me that is their own, respective, free and voluntary act and deed, and of the entity they respectively represent. TO THE TRUTH OF THE FOREGOING, witness now my hand and seal on the date and at the place indicated. Doc. 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