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Republic of the Philippines

CAVITESTATEUNIVERSITY
Don Severino de las Alas Campus
Indang, Cavite

COLLEGE OFENGINEERING AND INFORMATION TECHNOLOGY


Department of Information Technology

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HOST TRAINING ESTABLISHMENT (HTE) INFORMATION

Company/ HTE Coordinator: ______________________________________________

Current Position: ______________________________________________

Name of Company: ______________________________________________

Address: ______________________________________________

Telephone: ______________________________________________

E-mail address:

Details for Memorandum of Agreement

Representative/ Signatory Name: Mr./Ms/ Dr./Engr._______________________________

Name: _______________________________________________

Position: _______________________________________________

STUDENT TRAINEE INFORMATION

Name of Trainee: ______________________________________________

Student Number: ______________________________________________

Course /Year/ Section: ______________________________________________

Email Address: ______________________________________________

Telephone /Mobile Number: ______________________________________________

Parents/ Guardian: ______________________________________________

OJT TRAINING PERIOD

START DATE: _______________________________________________

END DATE: _______________________________________________

BENEFITS: (Y) / (N): _______________________________________________

Others: _______________________________________________

Submission of Narrative Report: ______________________________________________

CEIT-OJT FORM 2

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