Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila
COLLEGE OF ENGINEERING
Name: _____________________________________________________________
Address: ______________________________________________________________
Contact No: ______________________________________________________________
Name of Company: ____________________________________________________
Designation/Position: outlet Manager: ______________________________________
Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila
COLLEGE OF ENGINEERING
APPROVAL AND ACKNOWLEDGEMENT OF
PRACTICUM TRANING
This is the acknowledge receipt of the request to allow your student
________________________________ enrolled in _______________________________ to
have his/her practicum training in our company.
The following are the particular of his/her work assignment.
Job Description: ________________________________________________________________
Department: ___________________________________________________________________
Immediate Supervisor/Reporting to: ________________________________________________
From: _____________________________________ to _________________________________
______________________________________________________________________________
Printed Name & Signature: _______________________________________________________
Designation: ___________________________________________________________________
Company Address: ______________________________________________________________
Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila
COLLEGE OF ENGINEERING
ACCEPTANCE FORM
Date:_______________________
This is to certify that Ms.__________________________, a BS-
____________________________student, Major in __________________________________ of
Eulogio Amang Rodriguez Institute of Science and Technology has been accepted in our company and
to undergo his/her training for Three hundred ( 300 ) hours.
Please be informed of the following details of his/her assignment:
Title/Position:_ ___________________________________________________________
Job Description:_____________________________________________________________________
Department:/Section:________________________________________________________________
Immediate Supervisor:_______________________________________________________________
Working Days and hours: ______________________________________________________________
No of Hours to Complete:______________________________________________________________
Effective Date: ________________________________________________________________________
________________________________________
Name and Signature of Immediate Supervisor
Position:____________________________________________________________________________
Department:_________________________________________________________________________
Contact Number: _____________________________________________________________________
Email Address: _______________________________________________________________________
Company Name: _____________________________________________________________________
Address: ____________________________________________________________________________
Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila
COLLEGE OF ENGINEERING
DATA PRIVACY NOTICE
The College of Engineering, in line with the Data Privacy Act of 2012, is committed to protect and secure
personal information obtained in the process of performance of its mandate. The personal information
you provided manually herein will be processed and utilized solely for documentation, facilitation of
future transactions, and profiling, or for reportorial requirements/compliance to Institute rules and
regulations. Collected personal information will be kept/stored and accessed only by authorized CEN
personnel and will not be shared with any outside parties unless written consent is secured. Information
will be stored for ten (10) years after which physical records shall be disposed or destroyed following the
disposition process provided by the College Archives of EARIST. *
I AGREE
I DISAGREE
____ ______________________
Signature Over Printed Name
