Name of Trainee: _____________________________________ Course & Year: ___________________
Name of Host Training Establishment (HTE): ________________________________________________ Business Address : ________________________________________________________________ Name of Department : _________________________________Company Contact No. ____________ Date: ______________ Time In : __________ Time Out: __________ Total Hours: _________
Training Objective(s) Output Knowledge/Skills acquired
Activities: (Minimum of 150 words)
Remarks/Observations/Comments/Recommendations of the Training Supervisor
Certified by:
___________________________________ HTE Supervisor’s Printed Name & Signature