1. Wakas, Bocaue, Bulacan Trunkline: (044) 692-5291
Loc 112
www.thedycian.com
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Dear Mr/Ms: _____________
As a 3rd year Bachelor of Science in Computer Science student of Dr. Yanga’s
Colleges, Inc., I am required to undergo an On-the-Job Training (OJT) for a
minimum of 200 hours or an equivalent of 5 weeks. 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 Information Technology.
We are hoping for your favorable response this matter. Thank you very much and
God bless.
Very truly yours;
Angelo DC. Ortilano
104 Tabe Guiguinto, Bulacan
09168294434
Noted by:
Prof. Ruel C. Dogma
Practicum Coordinator,
College of Computer Studies
Dr. Yanga’s Colleges, Inc.
Wakas, Bocaue, Bulacan
2. Wakas, Bocaue, Bulacan Trunkline: (044) 692-5291
Loc 112
www.thedycian.com
WAIVER
I, Reyson R. Galvez, of legal age, single, and residing at #623 Wawa
Balagtas, Bulacan throught the request of Dr. Yanga’s Colleges, Inc. and
Interactive Technology Solution Incorporated and in consideration thereof,
hereby freely and voluntarily assume and impose upon myself the following
duties;
that I recognize the authority of the Interactive Technology Solution
Incorporated 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 Dr. Yanga’s
Colleges, Inc. and Interactive Technology Solution Incorporated 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 Bocaue, Bulacan this ____ day of April 2010.
_____________________
Signature
Witness:
_____________________
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CONFIRMATION
That we, Reyson R. Galvez, of legal age, Filipino, and resident of #623
Wawa Balagtas, Bulacan, 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
Subscribe and sworn to before me this ____ day of April, 2010 affiant exhibiting
his Residence Certificate No.______________ issued at __________________
on April ___, 2010.
________________________
Administering Officer
3. Wakas, Bocaue, Bulacan Trunkline: (044) 692-5291
Loc 112
www.thedycian.com
Student’s Information Sheet
PERSONAL INFORMATION:
Name: Reyson R. Galvez
Course: Bachelor of Science in Computer Science Year: 3rd
Nationality: Filipino
Address: #623 Wawa Balagtas, Bulacan Cel. No.: 09161641996
Date of Birth: August 10,1990 Place of Birth: Balagtas, Bulacan
Age: 20 yrs. old Sex: Male Height: 5’7” Weight: 57 kgs.
FAMILY BACKGROUND:
Father’s Name: Rodolfo R. Galvez Occupation: None
Mother’s Name: Virginia R. Galvez Occupation: House Wife
Address of Parents: #623 Wawa Balagtas, Bulacan
SCHOOL DATA:
Name of School: Dr. Yanga’s Colleges, Inc.
Training Coordinator: Prof. Ruel C. Dogma Tel. No.: (044) 692-5291
School Address: Wakas, Bocaue, Bulacan
Head of School: _________________________ Cel. No.:________________
IN CASE OF EMERGENCY:
Name: MerceDitas E. Lontoc Relationship: Parent (Mother)
Address: #623 Wawa Balagtas, Bulacan Cel. No: none
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: _________________________