OJT-ARTA Form 03

Revision No.:_________
Date: _______________

Republic of the Philippines

SULTAN KUDARAT STATE UNIVERSITY
Province of Sultan Kudarat

APPLICATION FOR ADMITTANCE TO THE

ON-THE JOB TRAINING PROGRAM

GERALDINE P. QUILLO, PHD

Sultan Kudarat State University
Kalamansig Campus

Sir:

I wish to apply for admittance to undergo On-Job-Training program.

Name: _______________________________________________________________________
(Surname) (First Name) (M.I)
Year & Course: ______________________ Major: ____________________________________
Date of Birth: _________________________________________ Age: ____________
Address: _________________________________________________________
_____________________________________________ Contact No: ________________
Name of Parent/Guardian: _______________________________________________________

Major and related subjects completed (specify descriptive title)

____________________________________________________________________________
____________________________________________________________________________

Preferred office/establishment/shop where to undergo On-the-Job Training:

Name of Agency: _______________________________________________________________
Name of Manager: ______________________________________________________________
Complete Address: ______________________________________________________________
______________________________________________________________
Telephone Number: _____________________________________________________________

I have discussed with my parents or guardian whose approval is signified by his/her signature below
regarding my application in this program.

____________________________________
Student-applicant

____________________________________
Signature over Printed Name
of Parent or Guardian
Recommending Approval:

RAMONITO J. NAZARENO, MSCJ

Program Chairman/Date

Approved:

GERALDINE P. QUILLO, PhD

OIC, Campus Director/Date

 OJT-ARTA Form 05
Revision No.:_________
Date: _______________

Republic of the Philippines

SULTAN KUDARAT STATE UNIVERSITY
Province of Sultan Kudarat

PARENT’S/GUARDIAN’S CONSENT & WAIVER

________________________________
________________________________
________________________________
Address

_____________________________
Date
TO WHOM IT MAY CONCERN:

This is to certify that I, ______________________________________________________

parent/guardian of _____________________________________________________________, a
student of SULTAN KUDARAT STATE UNIVERSITY - Kalamansig Campus, Kalamansig, Sultan
Kudarat grants him / her permission to undergo On-Job-Training on October 02, 2023 to January
03, 2024 every 7:30-11:30 in the morning excluding Saturday and Sunday or until such time that
they will be able to complete the 270hrs at SKSU- Kalamansig.

I understand and agree that this training is necessary and important implementation of the
technical education being taught in the college.

I further affirm that SULTAN KUDARAT STATE UNIVERSITY and the preferred agency
are in no way responsible nor they pay compensation for accident, harm or injury happen on the
student/trainee during the training and that he/she will undergo the said actual job training without
compensation from either the preferred office/establishment or the SULTAN KUDARAT STATE
UNIVERSITY.

I also certify that I am doing this in my own free will as evidence by my signature affixed
below.
___________________________
Parent/Guardian
WITNESSES:

1. RAMONITO J. NAZARENO, MSCJ 2. GERALDINE P. QUILLO PhD

Signature over Printed Name/Date Signature over Printed Name/Date
______________________________ _____________________________
______________________________ _____________________________
Address Address

SUBSCRIBED AND SWORN to before me this ______ day of _____________________, 20___ at

_________________________________________________________.

ACKNOWLEDGMENT RECEIPT: ___________________________________

Date: Signature over Printed name of
Time: Officer Authorized by Law
Received by: _______________________ _________________________________
Name and Signature of Position
Authorized Representative