QFO-8.5.

1-09-04
Rev 0
SURIGAO EDUCATION CENTER
Km. 2,National Highway,8400 Surigao City, Philippines

ACCEPTANCE FORM

Date: ___________________

Name of Student: __________________________________________

This will ( ) allow / ( ) not allow the above mentioned student to undergo the ______ hours of
the On-the-Job Training in our company.

To start on : _______________________ to _______________________

Schedule/Time : _______________________ to _______________________

______________________________________________
Name and Signature of Immediate Supervisor

Position/Title : ______________________________________________________
Department : ______________________________________________________
Telephone Number : ______________________________________________________
Company Name : ______________________________________________________
Address : ______________________________________________________