Pamantasan ng Lungsod ng Marikina

Rainbow Street, SSS Village, Concepcion Dos, Marikina City 01811

COLLEGE OF BUSINESS ADMINISTRATION AND ACCOUNTANCY
Telephone Number: 02-9759071 Email Address: cba.plmar@yahoo.com

ENDORSEMENT FORM
Company Information

Company Name Poplar Business Accounting System & Reports

Company Address Felix Avenue , Cainta Rizal
Contact Person
Contact Number/s
Nature of Business

Student Information

Student Name (Ln, Fn Mi) Orticio, Myca V.

Course/Year/Section 5BSA9A
Student Number PM-15-03131-A
Contact Number 0909-0008485
Home Address 119 E. Libya Ext. Brgy. Nangka Marikina City

Class Schedule for the Current Semester Time Alloted for OJT

Course Description Units Section Time Days Room Days Time

Note: Please Attach the following: Endorsed for Initial Interview and Physical Examination By:
1. ____Resume with Cover Letter
2. ____Photocopy of School ID <Signature Over Printed Name of Practicum Coordinator>
3. ____Photocopy of Registration Form

Offices Person In Charged or Action Taken Remarks

Conducted

Office of Student
Formation and <Signature Over Printed Initial Interview
Development Name of Placement
(Placement Office) Officer>

University Clinic <Signature Over Printed Physical &

Name of Attending
Medical
Physician>
Examination

<Signature Over Printed OJT Pre-

CBA Office Name of Practicum Deployment
Coordinator>
Briefing

Endorsement Letter Received By: Noted By: Approved By:

Orticio, Myca V Danilo E. Tiamzon Danilo E. Tiamzon

Department Head College Dean
Signature