OJT Form No.

1, s2018

UNIVERSITY OF THE EAST

APPLICATION FORM FOR ON-THE-JOB TRAINING

The collection of data is for the purpose of applying for OJT. By signing this form, you are certifying that all
information provided are true and correct and likewise authorizing this office to process your information.
Your accomplished form will be kept in a secure place and will be disposed after five years.

April 4, 2019 .
Date
The Dean
College of Engineering

Dear Dean Dr. Victor R. Macam Jr.:

I would like to apply for deployment in the On-the-Job Training Program for the
_____Semester/Summer, SY 2019- 2020. The following are the particulars about me.

I. PERSONAL DATA
Name: DELA CRUZ, JOMARI B. Student No.: 20151114828
Course: BS ELECTRONICS ENGINEERING Sex: MALE
Civil Status: SINGLE Religion:CATHOLIC Mobile No. 09158490767
Home Address: 897 DECENA ST. ATKONG BATO, VALENZUELA CITY
Telephone No.: 352-45-77 Email Address:delacruz.jomari.bernardo@gmail.com
Resume Link:jomari_delacruz.jobs180.com_______________________________
Name of Father: ROBERTO V. DELA CRUZ ___Occupation: NONE___________
Name of Mother: MARIA TERESA B. DELA CRUZ Occupation: EMPLOYEE____
Company/Company Address: BINONDO, MANILA CITY_____________________

II. PREFERENCE FOR DEPLOYMENT

Company: MANILA ELECTRIC COMPANY (MERALCO)_____________________
Address: MERALCO CENTER, ORTIGAS, PASIG CITY_____________________
Contact Person: MA. AMELIA I.TUASON_________________________________
Position: HEAD AND AVP OF TALENT RESOURCING Tel. No. 09209484806____

JOMARI B. DELA CRUZ

Signature over Printed Name of the
Student

Evaluated and recommended by: Approved by:

__________________________ __________________________
OJT Coordinator Dean

IMPORTANT: Immediately submit 1 copy of the approved application form to the OJT Coordinator
Attachments: 1) Computer Generated Evaluation List; and
2) Department Chair’s Certification of Completed OJT Pre-requisite