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Republic of the Philippines

Bulacan State University


City of Malolos, Bulacan

College of Science

AGREEMENT
The BULACAN STATE UNIVERSITY,
College of Science agrees to
permit
Mr. / Ms. ___________________________________________________________________ to
undergo On-The-Job Training with _________________________________________________
(Name of Company)
with address at _______________________________________________________________ a
minimum period of 200 hours from _______________________ to _____________________ at
___________ hours a day to be completed before the current summer term as an academic
requirement of his/her course.
Mr./Ms. ________________________________________________________ student of
BULACAN STATE UNIVERSITY in B.S. BIOLOGY course agrees to undergo continuous
practicum at the ________________________________________________________________
(Name of Company)
from _________________ to ___________________ covering a minimum of 200 hours is to be
subjected to its rules and regulations and to those of BULACAN STATE UNIVERSITY.
The ___________________________________________________________ located at
(Name of Company)
________________________________________________________________ agrees to accept
Mr. / Ms. ____________________________________________________________ to undergo
On-The-Job Training in its ____________________________________________ department as
____________________________________________________________ covering a minimum
(Nature of Work)
200 hours starting _____________________________________ and to rate his/her performance
at the end of the training.
________________________________
Student Trainee

____________________
Raymundo F. Javier, M.Sc.
Internship in Biology Coordinator

_____________________
Date

_______________________________________________
Name and Signature of Designated Company Officer

Republic of the Philippines

Department of labor
Bureau of labor standards
MANILA

APPLICATION FOR A SPECIAL CERTIFICATE FOR THE TRAINING OF LEARNER OR


APPRENTICE WITH/ WITHOUT COMPENSATION AS A REQUIREMENT OF A SCHOOL
CURRICULUM.
This is an application only. It is not a permit for the training of apprentice or a learner with/without
compensation.
NOTE: This application must be accomplished by a certification from the school attended by the apprentice or
learner stating the number of hours of on-the-job training required by the curriculum or the title on degree
completed, cited the major subject. Attach recent photo of apprentice or learner. Application not fully accomplished
shall not be entertained.
1. Name of establishment: ________________________________________________________________________
2. Address of Location: __________________________________________________________________________
3. Name of Proposed Apprentice / Learner: __________________________________________________________
4. Period of training undergone by proposed apprentice or learner in other companies, if known:
_____________________________________________________________________________________________
5. Purpose of training: As a requirement of a school curriculum
6. Nature of Training: ___________________________________________________________________________
7. No. of hours, days, weeks, months or years of training requested: _______________________________________
8. No. of hours of training to be sent daily : __________________________________________________________
The undersigned certifies that the information given is true and correct and that the training of the abovementioned apprentice or learner will not prejudice the existing office personnel of the establishment and that the
picture attached is that of the apprentice or learner. Immediate training of said apprentice / learner is hereby assured
by the undersigned upon issuance of the certificate.

________________________________
(Signature of the Employer)
1x1 photo

________________________________
(Designation)
_________________________________
(Signature of Apprentice / Learner)
_________________________________
(Address)

________________________________
(Date)
________________________________
(Date of Start of Training)

This is to certify that _____________________________ is enrolled at the BULACAN STATE


UNIVERSITY, City of Malolos, Bulacan, summer _____________ in BS BIOLOGY. This OJT Training
has a minimum of 200 hours and it is a requirement for his/her course.
_____________________________

_______________________________

Raymundo F. Javier, M.Sc.


Internship in Biology Coordinator

LEILANI M. LIZARDO
Registrar