PRIVACY CONSENT

I understand and agree that by filling out this form I am allowing the Technological
Institute of the Philippines to collect, process, use, share, and disclose my personal
information for OJT/internship and also to store it as long as necessary for the
fulfilment of the stated purpose and in accordance with applicable laws, including the
Data Privacy Act of 2012 and its Implementing Rules and Regulations, and the T.I.P.
Privacy Policy. The purpose and extent of collection, use, sharing, disclosure, and
storage of my personal information was explained to me.

CERTIFICATION OF ACCEPTANCE FOR ON-THE-JOB TRAINING

This is to certify that ____________________________________________________________________ has been
(Name of Student)

accepted in our company ________________________________________________________________________

(Name of Company)

with address at ________________________________________________________________________________

(Company Address)

for On-the-Job Training / Practicum starting _________________________________________________________

to be assigned in the ___________________________________________________________ Section/Department

Signed this _________________________ day of _______________________________.

Noted by:

_______________________________________________
Signature Over Printed Name of Company Representative

SUPERVISOR INFORMATION

Supervisor Name: ______________________ Branch:__________________________

Phone Number:________________________ Email: __________________________

TIP-CC-027 Revision Status/Date: 1/2017NOV 07