CEAOJT Form 005

PRACTICUM/OJT AGREEMENT
WAIVER
To Whom It May Concern:
This is to certify that I, Ramdolph V. Bundoc, 20 years of age, single, residing at #7
St. Paul Ave., Villa Julita Subd., City of San Fernando, Pampanga, bonafide student of
Holy Angel University, Angeles City.
In compliance with the continuation and requirements of my course in Bachelor of
Science in Electronics and Communications Engineering, I have to complete a minimum of
320 hours On-the-Job training at Philippine Long Distance Telephone Company, City of
San Fernando, Pampaga.
I further agree and affirm that, I will be responsible for my acts during my training; I
will follow the rules and regulations pertinent to the practicum training program; and that
the Holy Angel University and the above mention Company/Institution are in no way
responsible/liable nor shall pay compensation for any incident, harm or injury that may be
caused on my part as a result of my negligence that may occur during my Practicum/OJT
period.
__________________________________________
Signature of Student Over Printed Name

February 19, 2016

Date

CONFORME
___________________________________

__________________________________

Signature of Parent/Guardian Over Printed Name

Signature of School Practicum Coordinator

________________________________________
Company Representative or Officer in Charge

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF LABOR
BUREAU OF LABOR STANDARDS
MANILA
APPLICATION FOR SPECIAL CERTIFICATE TO EMPLOY LEARNER OR APPRENTICE WITHOUT
COMPENSATION AS A REQUIREMENT FOR A SCHOOL CURRICULUM OR AS A PRE-REQUISITE
TO A BOARD EXAMINATION.
(This is an application form only. It is not to employ apprentice or learner without compensation.)
NOTE:

This application must be accompanied 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 of the
course being taken. Attach recent photos of the apprentice or learner. Application not fully
accomplished shall not be entertained.

1. Name of Establishment: Philippine Long Distance Telephone Company

2. Address of Location: V.Tiomico St., Brgy. Sto Nino, City of San Fernando, Pampanga, Philippines_
3. Name of Proposed Apprentice/Student-Trainee: Ramdolph V. Bundoc
4. Name of Institution: Holy Angel University_________________________________________________
5. Nature of Training: Engineering_________________________________________________________
(State whether apprentice in the Engineering/Pharmacy/Office Practice, etc.)
6. Number of hours, Days, Months, or Years of training required: 320 hours_________________________
7. Number of Hours of Training to be spent daily: 8hours________________________________________
The undersigned certifies that the information given above is true and correct and that the employment of
the above mentioned apprentice/learner will not prejudice the existing office personnel of the establishment
and that the picture attached is that of the apprentice/learner; and that the said practice/training will not be a
ground for employment on any position that may become vacant in the future.

______________________________
Signature of Employer
_______________________________
Signature of Apprentice
#7 St. Paul Ave., Villa Julita Subd., City of San Fernando, Pampanga
Address

______________________________
Designation
______________________________
Date