Republic of the Philippines

PANGASINAN STATE UNIVERSITY

College of Engineering & Architecture
Urdaneta City, Pangasinan

ON THE JOB TRAINING MANUAL

FOR
ENGINEERING EDUCATION
PROGRAM

Prepared by:

NARCISO C. MUERONG JR.

OJT Coordinator
PSU – URDANETA
I. INTRODUCTION

On the Job Training is a program of ever learning institution for students

pursuing engineering and non- engineering courses. Its objective is to provide training
opportunities to undergo actual on the job exposure as prerequisite for graduation in
order to expose them to actual work situation thereby augmenting their formal
schooling.

Specifically, this OJT manual will serve as guide for:

1. Students enrolled in Bachelor of Science in Electrical Engineering, BS Civil

Engineering, BS Mechanical Engineering and BS Computer Engineering offered by
the university.

2. Program Coordinator and Supervisor will coordinate with the cooperating

agencies/corporations regarding various activities /requirements under this
programs.

The BSEE, BSCE, BSME and BS Computer Engineering curricula are designed to prepare
the students for their entry to supervisory and managerial positions in private consulting
firms, manufacturing firms, sales operations and maintenance of industrial and power
stations and public’s offices related to engineering practices. Engineering Mathematics,
Physical Sciences and Allied Subjects serve as foundation for professional courses of
various field of Engineering.

All educational institutions offering engineering courses require internship

training, a supervised work off campus learning activities.

The On the Job training is a joint effort between learning institutions and
participating agency to promote learning competencies of students and to become
candidates for future job opening.
 TABLE OF CONTENTS

I. Introduction

II. PSU Vision

III. PSU Mission

IV. College Goals and Objectives

V. Organization Structure

VI. Governance

VII. Objectives of the On the Job Training Program

VIII. On the Job Training, General Guidelines

IX. Appendix

1. Performance Evaluation Report Form A

2. Guidelines for Student-Trainee Form B
3. Affidavit of Training Form C
4. On the Job Training Agreement Form D
5. Application for On the Job Training Form E
6. Personal Data Form F
7. Parent’s/Guardian Waiver Form G
8. Certification of Current Class Standing Form H
 II. PSU VISION

The Pangasinan State University envisions to become an apex of academic excellence

that produces globally competitive and morally upright professionals in Pangasinan and the
Ilocos Region.

III. PSU Mission

Pangasinan State University provides quality and relevant academic programs in the
arts, sciences and pursues scientific and technological endeavors for the technical and holistic
development of professionals to meet local and global demands.

IV. COLLEGE GOALS & OBJECTIVES

General Objective

a. To produce competent and highly skilled manpower through quality education in

natural and applied sciences particularly mathematics, chemistry, physics,
statistics, computer information systems, architecture, engineering, and
technology; and
b. To help improve quality of life in the countryside through the extension of relevant
services including the application of the products of research and the transfer of
mature technologies.

Specific Objectives

a. To provide deserving students with quality education in pure mathematics,

statistics, computer information system, chemistry, physics, architecture, civil,
mechanical, electrical, industrial and computer engineering with the end in view
of preparing them for profitable employment in the government bureaucracy
and private business and manufacturing enterprises;
b. to provide students who posses the aptitude for manual work, high-standard
industrial skills that will enable them to hold high-paying jobs in the industry or
create their own employment;
c. to monitor the developments in the natural and applied sciences and accordingly
enrich the existing curricula to sustain the competitiveness of the graduates in
the employment market;
d. to upgrade the competencies of the faculty and staff through a relevant staff
development program and the institution of a performance appraisal system
that involves evaluation by students and other clientele;
e. to enhance the opportunity of poor but deserving students to acquire quality
education through institutional as well as privately sponsored scholarships;
f. to conduct educational, socio-economic, technological and scientific research to
improve instructional effectiveness, keep curricular programs focused on
changing sociological and economic conditions, upgrade existing farm as well as
important household equipment and devices and produce new ones to enhance
productivity in agriculture and industry, develop profitable technologies
particularly as regards energy generation and conservation, and advance the
frontiers of science;
g. to undertake extension services projects that will enable out-of-school youth and
unemployed adults to acquire practical skills that may be used in the pursuit of a
 gainful employment as well as help promote the enhancement of the human
dignity and the quality of life in the countryside; and
h. to establish enduring linkages with GO’s and NGO’s to facilitate cooperative
endeavors that support the college’s programs and projects.

V. ORGANIZATIONAL STRUCTURE

UNIVERSITY LEVEL

University President

Vice President
University President
For
Academic Affairs

Campus OJT OJT Director

Coordinators

University President

University President
COLLEGE LEVEL

Campus Dean

Associate Dean

OJT Coordinator
University President

Program Coordinator Program Coordinator Program Coordinator Program Coordinator

BSCE BSEE BSME BSCOE
BSCE
University President

Students Cooperating Agencies

 VI. GOVERNANCE

IN-PLANT TRAINING COORDINATOR

Duties and Functions

1. Establish linkages with industries for the OJT/In Plant Training of the students;
2. Prepares a deployment schedule for OJT;
3. Coordinate with the Cooperating industries/agencies/offices/institutions regarding the
requirements for deployment;
4. Deploy the students by personally turning them over and monitor the progress of the
student-trainees;
5. Submit quarterly/annual reports to the Associate Dean for consolidation; and
6. Perform other functions delegated by the higher authorities.

VII. OBJECTIVES OF THE ON THE JOB TRAINING PROGRAM

General Objectives

The program aims to:

1. Provide tertiary students enrolled in Higher Education Institutions the opportunity to

acquire practical knowledge, skills and desirable attitudes and values in reputable
establishment/industries in our country;
2. Enhance the students work competencies and discipline as they relate to people in
the workplace;
3. Promote competitiveness of students through their training;
4. Strengthen and enrich the degree programs in Higher Education Institution;
5. Provide opportunity to learn from the network with experienced professionals;
6. Handle new challenges and complex tasks for problems; and
7. Identify future career directions and become candidates for future job opening.

BS in Electrical Engineering (BSEE)

The field of Electrical Engineering deals with the generation, transmission,

distribution and utilization of electricity. It also deals with the design, operation and protection,
maintenance and economics of electrical systems with emphasis on ethical values to harness
economically and safely the materials, and forces of nature for the benefit of society and the
environment.

Laboratory experience is emphasized in the Bachelor of Science in Electrical Engineering

(BSEE) curriculum to provide familiarity with electrical, electronic and computing equipment
and with experimental techniques. Modern laboratories are available for electrical circuits,
electronics, machines, power systems, computers and the like, thereby, giving the students
necessary knowledge and skills in applying these tools for the advancement of mankind.

General Objectives

a. Provide the students with an education in the fundamentals of electrical engineering

that will allow them to be immediately competitive in industry or in graduate work
while providing the best opportunity for achieving full potential.
 b. Develop a sense of professional responsibility and social awareness.

c. Provide practical applications and hands-on work as evidenced by laboratory, design,

project study, computer exercises and practicum courses. These would help the student
to work well whether independently or as part of a group.

Specific Objectives:

A graduate of the Bachelor of Science in Electrical Engineering

(BSEE) program must attain:

a. Ability to apply knowledge of mathematics, physical, life and information sciences;

and engineering sciences appropriate to the field of practice.

b. Ability to design and conduct experiments, as well as to analyze and interpret data.

c. Ability to design a system, component, or process to meet desired needs within

identified constraints.

d. Ability to work effectively in multi-disciplinary and multicultural teams.

e. Ability to recognize, formulates, and solves engineering problems.

f. Recognition of professional, social, and ethical responsibility.

g. Ability to effectively communicate orally and in writing using the English language.

h. Understanding of the effects of engineering solutions in a comprehensive context.

i. Ability to engage in life-long learning and an understanding of the need to keep

current of the developments in the specific field of practice.

j. Knowledge of contemporary issues.

k. Ability to use the techniques, skills, and modern engineering tools necessary for
engineering practice.

BS Civil Engineering (BSCE)

General Objective:

The career paths available to civil engineers are many and varied and can involve a wide
range of activities, tools, situations and venues, from conceptual design of facilities that
do not yet exists to forensic study of facilities that have failed to perform as expected,
from advance simulation of complex system to the management of people and projects,
and from private consulting to public service. A civil engineering practitioner must be
prepared for a career that traverses this considerable professional breadth as well as for
a career focused on a single professional activity. The BSCE curriculum program is
designed specifically to meet these educational challenges by emphasizing fundamental
knowledge, transferable skills and lifelong learning.

Specific Objectives:
 A graduate of the BSCE program must attain:

1. An ability to apply knowledge of mathematics, physical sciences to the practice

of civil engineering.
2. An ability to design and conduct experiments as well as to analyze and interpret
data.
3. An ability to design, build, improve and install systems or processes which meet
desired needs within realistic constraints.
4. An understanding of the effects and impact of civil engineering projects on
nature and society and of the civil engineers social and ethical responsibilities.
5. Specialized engineering knowledge in each applicable field and the ability to
apply such knowledge to provide solutions to actual problems.
6. An ability to engage in lifelong learning and an acceptance of the needs to keep
current of the development in the specific field of specialization.
7. An ability to use the appropriate technique, skills and modern engineering tools
necessary for the practice of civil engineering.
8. An ability to effectively communicate orally and in writing using the English
language.

BS Mechanical Engineering (BSME)

Mechanical Engineering is a profession that concerns itself with mechanical design,

energy conversion, fuel and combustion technologies, manufacturing process, rail
transportation, automatic control, product safety and reliability, solar energy and technological
impact to the society. Mechanical engineers study the behavior of the materials when forces
are applied to them, such as motion of solids, liquids, gases and heating and cooling of object
and machines. Using these building blocks, engineers design space vehicles, computer, power
plants intelligence machines and robots, automobiles trains airplanes, furnaces and air
conditioners. Mechanical engineers work on jet engine design, submarines hot air balloons,
textiles, medical and hospital equipment, refrigerator and other home appliances.
The mechanical engineering curriculum is a broad based curriculum design to emphasize
the fundamental knowledge and skills of mechanical engineering and introduces new emerging
areas in the discipline. It also includes thesis projects that address the specific needs of the
communities as a result of consolidated efforts of the academe, industry and other concerned
agencies.

General Objectives:

To provide quality Mechanical Engineering Education for global competitiveness.

Specific Objectives:

A graduate of BSME program must have attained:

1. An ability to apply knowledge of mathematics, science and engineering.

2. An ability to design and conduct experiments as well as to analyze and interpret
data.
3. An ability to design system’s component or process to meet desired needs within
realistic constraints.
4. An ability to function on multi-disciplinary teams.
5. An ability to identify, formulate and solve engineering problems.
 6. An understanding of professional and ethical responsibility.
7. An ability to use techniques, skills and modern engineering tools necessary for
mechanical engineering practice.
8. An ability to communicate effectively in both Filipino and English language.
9. An understanding of the impact of engineering solutions in a global and societal
context.

VIII. ON THE JOB TRAINING GENERAL GUIDELINES

1. The minimum number of hours for On the Job training is 200 training hours and a
maximum of 300 training hours.
2. The student trainee must enroll the course based on the provision of the curriculum.
3. The student trainee must pay all fees related to OJT such as centralized Two
Hundred Pesos( Php 200) mobilization fund for OJT intended for travel and
transportation allowance of the coordinator serving as supervisor for OJT.
4. The student trainee must accomplish and submit the following documents for On
the Job training:

a. OJT Application Form (Form E)

b. Latest Resume or Personal Data (Form F)
c. Certificate of Grades for the last two semester from the Registrar’s office with
campus official seal (Form H)
d. Waiver from parent/guardian (Form G)
e. Medical clearance from the University
f. Good moral character from campus Guidance Counselor
g. OJT training agreement (Form D)
h. Memorandum of Agreement (MOA)
i. Guidelines for student trainee (Form B)
j. Performance evaluation report( Form A)
k. Barangay clearance
l. 3 sets of 2x2 recent picture in corporate attire
m. Drug test results from drug testing clinic accredited by cooperating agency
n. Recommendation letter from the university (indicating the number of hours of
required training).
o. Affidavit of Training ( Form C)

These sets of documents must be submitted in 3 copies for the campus OJT Supervisor,
President’s office thru the office of the OJT and Placement Director and for the
Cooperating Agency.

5. The student trainee is required to attend the following activities as a requirement of

the course:
a. Pre and Post OJT Seminar
b. Department interview
c. Student trainee Journal
d. OJT Narrative Report
e. Certificate of Training Completion
6. The final grade of the student trainee may be based on the following criteria:

Rating System

Criteria Percentage

A. Reports - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - 35%
a. OJT Narrative Report
b. Student Trainee Journal
B. Attendance and Participation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -20%
C. Performance Evaluation Report - - - - - - - - - - - - - - - - - - - - - - - - - - - - 35%
(From Cooperating Agency)
D. Field Observation by the Coordinator - - - - - - - - - - - - - - - - - - - - - - - - 10%

Total 100%

7. Placement Procedures

a. The OJT Supervisor recommends the student s for training at the Cooperating
Agency. A recommendation letter addressed to the Human Resource Director of
the Cooperating agency or his equivalent is prepaid, attached with complete set
of documents stated in item #4 of this guideline.

b. The list of student trainees and their place of deployment shall be submitted to
the Office of the President thru the Office of the OJT, Placement and the
Cooperating Agency.

c. Cooperating Agencies must be selected and accredited to a set of guidelines

provided by the university.

d. For students undergoing OJT in government Offices, it is suggested that they may
be deployed to the Regional Line Agencies for better work exposure.

e. Student trainees should undergo training outside the University. Only in special
cases will student be allowed to undergo training within the University. The
student trainee in this case is to seek for the approval of the university president.
Also, the trainee has to accomplish OJT form (OJT Training Agreement) and
certificate of Exemption from undergoing OJT outside the University.

f. Student trainee must be deployed to the following accredited agencies;

Engineering and Architecture

 National Grid Corporation of the Philippines inc. (NGCP)

 Team Energy Sual Power corporation
 Pangasinan Electric Cooperative III (PANELCO)
 San Roque Power Corporation (SRPC)
 National Power Corporation
 Northern Cement Corporation
 Builders
 Engineering Firms
 Manufacturing/Industrial Firms
 Architectural Consulting Companies
 Refinery Plants
 Provincial Engineering Offices
 National Irrigation Administration
 Department of Public Works and Highway
 B-Meg Binalonan
 Purina Chow- Villasis
 Daguapn Electric Corporation
 Union Galva Steel
 Planning and Design
 Appendix
OJT FORM A
PERFORMANCE EVALUATION REPORT
For On the Job Trainees
PANGASINAN STATE UNIVERSITY
Urdaneta Campus

Name of Trainee ______________________ _______Agency/Company/Office_____________________________

Date covered: From ________ to ________________ Department /Section _______________________________
Semester/Summer ______________ Trainee’s Designation _______________________________

TO THE STUDENT:
Please type information needed above. Give to designated evaluator. Fill up form if you stayed at least two
days in the section department.
TO THE RATER:
This form has been develop to monitor the performance of each practicum trainee not only for grading
purposes but also to provide basis for identifying his strengths and weaknesses. As a supervisor, you have a key role
in the training of our future professionals in their respective programs.

Kindly rate the trainee in each of the traits indicated below by choosing the appropriate number that correspond
to your Objective evaluation of his/her performance in your department. Traits which have not been observed
during the trainee’s stay may be marked NA( not applicable).
Very Poor Poor Fair Good Very
Good
1 2 3 4 5
1. QUALITY OF WORK Is the trainee accurate and thorough? Is
his work presentable and acceptable?
Can he/she detect errors and correct them?
2. KNOWLEDGE How much has he learned about his job? Does
he/she knows the function
requirements and responsibilities involved?
3. QUANTITY OF WORK How much productive is the trainee?
How rapid does he/she perform his /her task? How
consistently does he/she maintain such
Rate of work?
4. DEPENDABILITY Can he/she be depended upon to
Finish assigned tasks on time and follow instructions?
5. DILIGENCE Can he/she work hard and concentrate on the
work at hand?
6. JUDGEMENT Can he grasps situations and draw correct
conclusions? Can his judgments be depended upon, even
under stress?
7. INITIATIVE Does he/she assumes responsibilities willingly and
voluntarily? Is he/she enterprising
and resourceful?
8. COOPERATION Does he manifest sufficient willingness and
capacity to work harmoniously with
Everyone?
9. PERSONALITY Personal grooming and pleasant disposition

10. ATTENDANCE AND PUNCTUALITY Is he regular and punctual

in his/her attendance? Does he/she properly observe break
periods?

Recommendation for the trainee’s further growth:

________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________.

Evaluated by: Verified by:

____________________________________ ____________________________________
Signature Over Printed Name OJT Coordinator

____________________________________ ____________________________________
Designation Date
 OJT FORM B
GUIDELINES FOR THE STUDENT TRAINEE

Dear Student Trainee:

You are ready to go to your respective training station. While you are undergoing the On the Job
training, please observe these guidelines which are intended for your protection and worthwhile stay in
the training agency/company.

1. You are required to pass or attend the following activities;

a. Pre and Post Practicum Seminar
b. Department Interview
c. Industry partner interview/screening & orientation (as needed)
d. Other activities as required by the OJT supervisor
2. Follow the rules and regulation of the agency/company regarding the training program.
3. Maintain the good image of the College while undergoing training. Through your
performance and courteous attitude towards the personnel of the agency/company.
4. Promote a good and promote wholesome relationship between the COLLEGE and the
training station.
5. Stick to your assignment and never leave the agency/company without the knowledge and
sanction of the COLLEGE.
6. Communicate with the COLLEGE on matters pertaining to problem you encounter while on
training for proper solution and/or factual information related to your problem.
7. Accomplish OJT Form regarding your day to day accomplishment and compile them
chronologically in a folder.
8. At the end of the training program request from the agency/company your CERTIFICATE OF
COMPLETION OF TRAINING together with Performance Evaluation Report from your training
personnel.
9. Immediately after the training, submit to the OJT Coordinator the following requirements:
a. OJT Logbook or Journal for Daily Work Act
b. OJT Evaluation Report
c. Certificate of Training Completion
d. Narrative Report ( Two (2) weeks after the training )
e. Others as maybe required by the OJT Coordinator
10. Your final grade maybe based on the following criteria.

CRITERIA PERCENTAGE
1 OJT Narrative Report 35%
Student Trainee Journal
2 Attendance & Participation 20%
In pre &post Seminars and other activities
3 Performance Evaluation Report 35%
( from Cooperating Agency )
4 Field Observation by the Coordinator 10%
Total 100%

D. GOODLUCK AND ENJOY YOUR TRAINING

_______________________________________
College Dean

CONFORME:
__________________________________________
Signature of Trainee over Printed Name
 OJT FORM C
REPUBLIC OF THE PHILLIPPINES _________________________
___________________________________________________
_______________________________________

AFFIDAVIT OF TRAINING

I _____________________________, of legal age, Filipino, single, and a resident of

_______________________________________________after having been duly sworn to in
accordance with law, under oath depose and say;

1. That I am a_____________________________________ student of Pangasinan State

University Urdaneta Campus, Urdaneta City;

2. That I am a _____ year in the same institution and already eligible for an on job
training as required in our curriculum;

3. That I am undergoing on the on job training with _____________________________

at ____________;

4. That I agree that in the course of my job training, __________________________ is

not responsible for any injury or damages that I may suffer;

5. That I will not be paid for my attendance in the said training;

6. That I am executing this affidavit to attest to the facts narrated.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

_________________________ 2011 at ________________________________.

__________________________
Affiant

SUBSCRIBED AND SWORN to before me on the date and in the place written above.
 OJT FORM D
ON-THE -JOB TRAINING AGREEMENT

KNOW ALL MEN BY THIS PRESENTS:

This On the Job training agreement is entered into by the PANGASINAN STATE UNIVERSITY, College of
Engineering & Architecture, Urdaneta City, Pangasinan represented herein by DR. ARTEMIO M. REBUGIO in his
capacity as the Campus Dean, hereinafter referred to as the COLLEGE;
____________________________________ a student of PSU-CA, Urdaneta City, Pangasinan taking up
______________________________________________ major in ___________________________ and resident of
__________________________________________ herein after referred to as TRAINEE; and
____________________________________________________ a duly organized and existing business
company/corporation with address at _____________________________________________ represented herein
by _________________________________________ in his capacity as ___________________________ referred
to as COMPANY/ CORPORATION.

WITNESSTH

That the PARTIES CONCERNED hereby entered into this on the job training agreement under the following terms
and conditions;

1. That the COLLEGE hereby certifies that the Trainee is its bonafide student and that the same TRAINEE has
completed all requirements prerequisite to his /her on the job training activities;
2. That the TRAINEE will undergo on the job training in the COMPANY/CORPORATION for no less than 200
training hours;
3. That the TRAINEE must follow the COMPANY/CORPORATION rules and regulations during the period of
his/her training;
4. That the TRAINEE will not be entitled to any compensation from the COMPANY/CORPORATION unless the
COMPANY/CORPORATION and the PANGASINAN STATE UNIVERSITY College of Engineering &
Architecture, Urdaneta City, Pangasinan responsible whatever injury and/or accident that the TRAINEE
might sustain in the course of his/her training;
5. That the COMPANY/CORPORATION shall supervise the conduct of Training on the TRAINEE and shall give
the necessary rating for the TRAINEE’S accomplishments upon the completion of his/her training.

IN WITNESS WHEREOF, the PARTIES hereunto affixed their signatures this ______ th day of
________________________, 2010 in _____________________________________.

________________________________ ______ ___________________________

Company/Corporation Representative Signature of Trainee
Res. Cert. No._____________________ Res. Cert. No.________________________
Issued at ________________________ Issued at ____________________________
Issued on________________________ Issued on ___________________________

PANGASINAN STATE UNIVERSITY

College of Engineering and Architecture
Urdaneta City, Pangasinan

_______________________________
DR. ARTEMIO M. REBUGIO
Campus Dean
Res Cert. No. _____________________
Issued at ________________________
Issued on ________________________
______________________________
ENGR. NARCISO C. MUERONG JR.
OJT, Coordinator
Res. Cert. No. _______________________
Issued at ___________________________
Issued on __________________________

Executed and Signed before me this ________ day of 2010, this City of Urdaneta, Pangasinan.

Doc.____________
Book.___________
Page No. ________ __________________________
Notary Public
 OJT FORM E
APPLICATION FOR ON THE JOB TRAINING

__________________________
Campus Dean

Pangasinan State University

College of Engineering & Architecture
Urdaneta City, Pangasinan

May I have the honor to apply for placement in the Supervised On The Job Training Program for
the period of _____________ training hours. The following are m particulars and preference for our
favorable consideration.

PERSONAL DATA:

Name: __________________________________ Age: _______ Contact no: ________________

Sex: _______________ Civil Status: _____________________ Religion: __________________
Home Address: ________________________________________________________________

ACADEMIC DATA:
Course: _______________________________________
Year & Section: _________________________________

PREFERENCE FOR PLACEMENT:

1st Company: ______________________________________________________________

Address: __________________________________________________________________
Contact Person: ____________________________________________________________
Position: _______________________________________
Contact Number: ________________________________ (if any)

2nd Company: ______________________________________________________________

Address: __________________________________________________________________
Contact Person: ____________________________________________________________
Position: _______________________________________
Contact Number: ________________________________ (if any)

Very truly yours,

_________________________________
(Signature of Student over Printed Name)

CTC No.: ____________________________

Issued on: __________________________
Issued at: __________________________

RECOMMENDING APPROVAL:

_______________________________ ________________________________
Department Chairman College Registrar

APPROVED:
_________________________________________
Campus Dean
 OJT FORM F
PERSONAL DATA
2X2 PHOTO
NAME: ___________________________________________________
ADDRESS: ________________________________________________
TELEPHONE NO.: ______________________CP#: _________________

CAREER OBJECTIVE: _____________________________________________________________

_____________________________________________________________

WORK EXPERIENCE:
Inclusive date Employer Position & Job Description

TRAININGS & SEMINARS ATTENDED:

Title of Seminar Inclusive Date

EDUCATIONAL BACKGROUND:
Level School Inclusive Date
Elementary
High School
College

EXTRA CURRICULAR ACTIVITIES

PERSONAL BACKGROUND:
Nick name
Age
Gender
Weight
Height
Civil Status
Religion

REFERENCES:
Name:
Position:
Employer:
Tel No.:

Name:
Position:
Employer:
Tel No.:

_________________________
Student Signature/Date
 OJT FORM G

WAIVER

I _________________________, age ________, a Filipino citizen and residing at

______________________________________________ and has applied for On the Job Training with
the company/agency namely: _______________________________________ with office address at
______________________________________________ through the request of PANGASINAN STATE
UNIVERSITY, COLLEGE OF ENGINEERING AND ARCHITECTURE, Urdaneta , Pangasinan and in
consideration therefore, hereby freely and voluntarily assume myself the following terms and
conditions, viz:

1. That I recognize the authority of my cooperating agency where I will be assigned and submit
myself to all the rules and regulations that are upon me in connection with my training:
2. That I renounce and waive any claim(s) against the cooperating agency/company and the
PSU, COLLEGE OF ENGINEERING & ARCHITECTURE, URDANETA PANGASINAN for any injury
and/or accident or loss that I may suffer, personal or pecuniary, in the performance of my
duties or functions while undergoing training, provided that the cooperating agency ensures
my safety and welfare while in their care and therefore shall not assign me to jobs that ma
danger my safety, health and welfare; and
3. Finally, I am aware that I am not entitled to any kind of compensation and/or remuneration
from the agency/company unless traveling allowance and/or other expenses will be given to
me voluntarily by the3 cooperating agency/company concerned.
Signed this _____________day of _______________, 20 __ in the ______________________
, Province of Pangasinan, Philippines.

______________________________________
(Signature of Trainee)
CTC No.: ____________________
Issued at: ___________________
Issued on: ___________________

PARENTS’/GUARDIANS CONSENT

I fully agree with all the terms and conditions provided for in this WAIVER executed
_____________________________, hence, I hereby give my full consent for __________________ to
undergo the On The Job training at _______________________ for the specified training period of
________ hours.

_____________________________________
(Signature of parent/Guardian)
Res Cert #: ___________________
Issued at ____________________
Issued on ____________________

WITNESSES:

_________________________ _____________________________ _____________________

OJT Coordinator Department Chairman Campus Dean

Executed and signed before me this ______ day of ________, 20__, this
______________________________________, Pangasinan

Doc.No. _________
Book No. ________ _________________________
Page No. ________ (Notary Public)
Series ___________
 OJT FORM H
CERTIFICATE OF CURRENT CLASS STANDING
Date: ___________________

This is to certify that Mr/Ms ____________________________________ enrolled in the

following course/s has a class standing of:

Subject Passing Failing Faculty In Charge

Note to the faculty: Please initial in appropriate column (whether passing or failing) and sign and put
date on the last column.

Note to the Student: Please type all courses enrolled for the current semester on the first column. Type
name of each faculty in charge on appropriate space on the last column.

Attach photocopy of current Registration Card

CERTIFICATE OF CURRENT CLASS STANDING

Date: ___________________

This is to certify that Mr/Ms ____________________________________ enrolled in the

following course/s has a class standing of:

Subject Passing Failing Faculty In Charge

Note to the faculty: Please initial in appropriate column (whether passing or failing) and sign and put
date on the last column.

Note to the Student: Please type all courses enrolled for the current semester on the first column. Type
name of each faculty in charge on appropriate space on the last column.

Attach photocopy of current Registration Card