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Code: SLSU-OF-IN24
Revision: 00
Date: 20 October 2015

Republic of the Philippines

SOUTHERN LEYTE STATE UNIVERSITY
COLLEGE OF TEACHER EDUCATION
San Isidro, Tomas Oppus, Southern Leyte

OFFICE OF THE OJT COORDINATOR

Department

Monthly OJT Status Report

(Encoded Only)

Name of OJT: Course, Year & Major:

Name of Cooperating Industry: (Inclusive Date) From:

Department: To:

Summary of Monthly Activities: Learning insights:

Remarks: Remarks:

NOTED: NOTED:
OJT Supervisor: ________________________________ OJT Chairman: __________________________________
Signature Over Printed Name Signature Over Printed Name