Republic of the Philippines

Department of Education
Region VII,Central Visayas
Interim Division of Carcar City
CARCAR CENTRAL NATIONAL HIGH SCHOOL
P.Nellas St. Poblacion III, Carcar City Cebu

APPLICATION LETTER

October 01, 2019

SENEN P.PAULIN, CESO V

Schools Division Superintendent
P. Nellas St. Poblacion 3
Carcar City, Cebu

Dear Sir Paulin:

As a grade 12 Computer System Servicing (CSS) student of Carcar Central National

High School, I am required to undergo a Work Immersion Program (WIP) for a minimum
of 160 hours (20 days). This is in partial fulfillment of the requirements of the course.

I am applying in your company as a trainee because I believe that the experienced I will
obtain will surely improve my skills and acquire additional knowledge in the field of
Computer System Servicing (CSS).

We are hoping for your favorable response this matter. Thank you very much and God
bless.

Very truly yours;

ROMEL T. TOMOMBAY

Noted by:

MARK ANTHON M.TABURNAL

Work Immersion Teacher
 Republic of the Philippines
Department of Education
Region VII,Central Visayas
Interim Division of Carcar City
CARCAR CENTRAL NATIONAL HIGH SCHOOL
P.Nellas St. Poblacion III, Carcar City Cebu

WAIVER
I, ROMEL T. TOMOMBAYof legal age, single, and residing at Upper Proper
Perrelos, Carcar City,Cebu through the request of Carcar Central National High
School and Division of Carcar City in consideration thereof, hereby freely and
voluntarily assume and impose upon myself the following duties;

that I recognize the authority of the Division of Carcar City under whom I am places
and submit myself to rules and regulations that maybe imposed in connection with my
training;

That I assume full responsibility to all damages incurred by me arising out of and in
course of my training during off hours;

Furthermore, I renounce and waive any all claims against the Carcar Central National
High School and Division of Carcar City for any injury that may sustain or any loss that
I may suffer, personal or pecuniary, in the performance of my duties or function.

Signed at Carcar City, Cebu this _____ day of October 2019.

_____________________
Signature

Witness:

CARMELITA B.CORTES MARK ANTHON M.TABURNAL

PDO1-YFC CSS Instructor

CONFIRMATION

That we, ROMEL T. TOMOBAY, of legal age, Filipino, and resident of Student
Address, after being duly sworn in accordance with law hereby agree and state:

That we hereby confirm the above waiver appearing in this instrument.

_______________________
Signature of Parent/Guardian
 Republic of the Philippines
Department of Education
Region VII,Central Visayas
Interim Division of Carcar City
CARCAR CENTRAL NATIONAL HIGH SCHOOL
P.Nellas St. Poblacion III, Carcar City Cebu

Student’s Information Sheet

PERSONAL INFORMATION:
Name : Tomombay, Romel T.
Course : Computer System Servicing Year: Grade 12
Nationality: Filipino
Address : Upper Proper Perrelos, Carcar City, Cebu
Cell. No. : 09675109609
Date of Birth: July 16, 1999 Place of Birth: Perrelos, Carcar,
Cebu
Age : 20 Sex : Male Height : 5’5’ Weight : 54kg

FAMILY BACKGROUND:
Father’s Name :Tomombay, Anacleto P. Occupation: Carpenter
Mother’s Name :Tanudtanud, Ponciana M. Occupation: Housewife
Address of Parents: Perrelos, Carcar City, Cebu
Guardian:Tanudtanud, Ponciana M. Occupation: Housewife
Address:Perrelos, Carcar City, Cebu
Contact Number of Guardian: 09066126528

SCHOOL DATA:
Name of School : Carcar Central National High School
Training Coordinator: Mark Anthon M. Taburnal Mobile No.: _______________
School Address : P. Nellas St., Poblacion 3, Carcar City, Cebu
Head of School : Mr. Lordjim L. Alcuizar

IN CASE OF EMERGENCY:
Name :Tanudtanud, Ponciana M. Relationship: Mother
Address :Perrelos, Carcar City, Cebu
Cel. No: 09066126528
I HEREBY CERTIFY THAT THE ANSWER GIVEN ABOVE ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

____________________________
Signature over Printed Name

Right Thumb Mark

1x1 ID Picture

Date: ___October 01, 2019______________________

 Republic of the Philippines
Department of Education
Region VII,Central Visayas
Interim Division of Carcar City
CARCAR CENTRAL NATIONAL HIGH SCHOOL
P.Nellas St. Poblacion III, Carcar City Cebu

LETTER OF ENDORSEMENT

October 01, 2019

SENEN P.PAULIN, CESO V

Schools Division Superintendent
P. Nellas St. Poblacion 3
Carcar City, Cebu

Dear Sir Paulin:

This refers to the requirement of the Computer System Servicing curriculum of Carcar
Central National High School for students to undergo a Work Immersion Program for a
minimum of 160 hours in any company with Computer Technology base.

In view of this, we would like to request that Mr. Romel T. Tomombay to have his Work
Immersion Training in your company. In this manner, he will have an opportunity to
apply his theoretical knowledge in actual practice.

We believe that your company can provide the relevant exposure to future Information
Technologists, thus ensuring the continuous supply of highly qualified personnel.

We would highly appreciate whatever assistance you could extend to us that would, in the
long run, be both beneficial to the student and your company.

Thank you and we look forward to your kind consideration and support.

Very truly yours,

MARK ANTHON M. TABURNAL

CSS Instructor

Noted by:

LORDJIM L. ALCUIZAR
Principal - 1