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Republic of the Philippines

Bulacan State UniversityCity of Malolos, Bulacan

College of Science

AGREEMENT

TheBULACAN 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

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Republic of the Philippines

Department of laborBureau 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 above-

mentioned apprentice or learner will not prejudice the existing office personnel of the establishment and that thepicture 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)

________________________________

(Designation)

_________________________________

(Signature of Apprentice / Learner) ________________________________

(Date)

_________________________________ ________________________________(Address) (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. LEILANI M. LIZARDOInternship in Biology Coordinator Registrar

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