TIP-CC-029 Revision Status/Date: 2/2023 JUN 23

PRIVACY CONSENT
I understand and agree that by filling out this form I am allowing the Technological Institute
of the Philippines to collect, process, use, share, and disclose my personal information for
internship and also to store it as long as necessary for the fulfillment of the stated purpose and
in accordance with applicable laws, including the Data Privacy Act of 2012 and its Implementing
Rules and Regulations, and the T.I.P. Privacy Policy. The purpose and extent of collection, use,

ON-THE-JOB TRAINING / PRACTICUM AGREEMENT

AND LIABILITY WAIVER FOR THE COMPANY

KNOW ALL MEN BY THESE PRESENTS:

This ON-THE-JOB TRAINING / PRACTICUM AGREEMENT AND LIABILITY WAIVER, made and
executed this __________________ day of __________________ at ___________________, by
______________________________________________________________, Filipino, and a resident of
(Name of Student)

_______________________________________________________.

hereinafter referred to as the on-the-job trainee, and (if a minor) his parent / guardian,
_____________________, Filipino of legal age and a resident of ____________________

- and -

__________________________________________________________________________________
(Name of Company)

with address at __________________________________________ herein referred to as the COMPANY.

(Company Address)

WITNESSETH

THAT, the TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES or T.I.P. of which school the on-
the-job trainee is a student, has requested the COMPANY to allow on-the-job trainee to undergo on-the-job
training/practicum for a minimum of _______ hours as part of his/her academic requirement.

THAT, the COMPANY is willing to accommodate the request of T.I.P. and to allow the on-the-job
trainee to undergo practical training, subject to the following terms and conditions:

1. During the period of his/her on-the-job training/practicum, the COMPANY shall not be bound to
pay the on-the-job trainee any salary, allowance or compensation but may do so if it wishes.

2. The on-the-job trainee shall abide by all rules and regulations observed by the COMPANY
employees during his/her on-the-job training/practicum with the COMPANY and shall exercise
care and diligence in the task assigned to him/her.

3. The COMPANY shall not in any way be held liable for injury/ies and/or accident/s that the
on-the-job trainee may suffer in the course of his/her training.

4. The COMPANY shall be held free and harmless from any liability for damage or injury to third
parties which may be occasioned by intentional or negligent act of the on-the-job trainee.

5. The on-the-job trainee or, if a minor, his/her PARENT or GUARDIAN, binds himself/herself to
identify the COMPANY for damages which may be caused on any property by the on-the-job
 trainee intentional or negligent acts.

6. It is clearly understood that during the period of his/her training and presence in the
COMPANY, no employer-employee relationship exists between the on-the-job trainee and the
COMPANY.

7. This ON-THE-JOB TRAINING/PRACTICUM AGREEMENT AND LIABILITY WAIVER will be in

effect for the whole duration of the training.

IN WITNESS WHEREOF, I/WE have affirmed my/our signature(s) hereunto on the date and place
first abovementioned.

___________________________
ON-THE-JOB TRAINEE

Assisted by:

____________________________ _____________________________
PARENT/GUARDIAN COMPANY REPRESENTATIVE

SIGNED IN THE PRESENCE OF:

____________________________ _____________________________
SCHOOL REPRESENTATIVE COMPANY REPRESENTATIVE

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

<QUEZON/MANILA> CITY, METRO MANILA ) S.S

BEFORE ME, a Notary Public for and in <Quezon/Manila> City this ________ day of ________, personally
appeared:

NAME CTC NO. DATE/PLACE ISSUED

All known to me and to be known to be the same persons who executed the foregoing Memorandum of
Agreement, consisting of two (2) pages, signed by them and their witnesses, and they acknowledge that
the same is their voluntary act and deed and also of those whom they represent.

WITNESS MY HAND AND SEAL

DOC. NO. ;
PAGE NO. ; NOTARY PUBLIC
BOOK NO. ;
SERIES NO ;