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Republic of the Philippines

Bicol University
College of Social Sciences and Philosophy
Political Science Department
Daraga, Albay

Date: ______________

This is to certify that


Mr./Ms. ____________________________________,
a 4th year Bachelor of Arts in Political Science student of Bicol University College of
Social Sciences and Philosophy
has been officially

ACCEPTED AS AN OJT TRAINEE


in
___________________________________________
Name of Government Agency/LGU

______________________________________________________________
Complete Address

The details of his/her assignment are as follows:


Department/Division/
Section:

Name of Supervisor

Training Schedule
(Hours and Days)

Required Number of
Hours

Effective Date of Start

Noted by:

Agency/LGU Position Department/Division Contact Number


Representative and Email Address
(Signature over Printed
Name)
Conforme:
__________________________ __________________________
Name of Student Name of Parent/Guardian
(Signature over Printed Name) (Signature over Printed Name)

_________________________ _________________
Name of SIPP Supervisor Date Signed
(Signature over Printed Name)

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