Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OF CANDON CITY
CANDON CITY INFORMATION TECHNOLOGY NATIONAL HIGH SCHOOL
PATPATA 1ST, CANDON CITY, ILOCOS SUR

LIST OF TASK/ACTIVITIES
Name of Grade and
BALAQUE, JERIC 12 - DIAMOND
Student: Section:
Candon City Information Department of Public
Immersion
School: Technology National High Works and Highways
Site:
School (DPWH)
Strand/ General Academic
Track: Academic
Specialization Strand (GAS)
Duration of
Work 80 hours
Immersion:

School
Contact
Partnerships Mayflor C. Foronda 09051878205
Number:
Focal Person
Work
Contact
Immersion Jefferson L. Egalla 09358320728
Number:
Teacher

LIST OF TASKS/ACTIVITIES
Time Actual
Competencies Tasks/Activities Remarks
Allotment Schedule

Students shall not be given other activities outside of those previously agreed upon, which
are anchored on the stated competencies.

Certified true and correct:

_________________________________ _________________________________
Student’s Signature Over Printed Name Parent’s Signature Over Printed Name

_________________________________ _________________________________
Work Immersion Teacher’s Industry Supervisor Signature
Signature Over Printed Name Signature Over Printed Name