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/ Revision Status/Date: /(--01une (0

TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES

REQUEST FOR ON-THE-JOB TRAINING ENDORSEMENT LETTER


Company Name Contact Person Position Telephone No./s Student Name Contact No.
SUBJECT

: : : : : :
CLASS SCHEDULE FOR THE CURRENT SEMESTER UNITS SECTI N TI!E "A#S

Company Address :

Course/year: Student No.


$ ! TIME ALLOTTED FOR OJT "A#S TI!E

Note: please attach the following:


! "io#Data or Resu$e in %I& prescribed for$at (! &hotocopy of school ID )! &hotocopy *urrent Student Registration +or$ '''''''''''' '''''''''''' ''''''''''''

Endorsed 'or Psycholo+ical Tests and Physical E,amination &y:


--------------------------------------Si+nature o' Sta'' %"ean.s ''ice*

PSYCHOLOGICAL TESTS
%to &e 'illed(out &y the )uidance Counselor*

PHYSICAL EXAMINATION
%to &e 'illed(out &y the School Physician*

OJT PRE-DEPLOYMENT BRIEFING


%to &e 'illed(out &y the "epartment Chair/"ean*

Referral Letter Issued by/Date Signature of Staff

Referral Letter Received by/Date Students Signature

Noted/Approved by: "epartment Chair/"ean