Professional Documents
Culture Documents
ACCOMPLISHMENT FORM
A. Student Information
Name: ________________________________________ Course/Yr. /Sec.: _____________________
Company: ________________________________________________________________________
Address: __________________________________________________________________________
Telephone Number: _________________________________________________________________
Contact Person: __________________________ __________________________________________
Position: __________________________________________________________________________
B. Requirements Accomplished
• Certificate of Registration
• Certificate of Participation
• Student/University Contract
• Medical Results
General Remarks:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Prepared by:
_______________________________________
Signature over Printed Name of the Student
_______________________________________
Signature over Printed Name of the OJT Coordinator
Date Signed: ___________________________
NEUST–OJT–F010
Rev. 00 (02.11.19)