PRACTICUM TRAINING AGREEMENT

I, Raffy Del Mundo Lopez, 19 years of age, Filipino, single/married with residence
and postal address at Block 4, Lot 18 Fiesta Communities, Barangay Tabun, Angeles City,
bonafide student of Holy Angel University, Angeles City.

In compliance with the curriculum requirement of my course in Legal Management, I

have to complete 250 hours of Office Training at the Public Attorneys Office
located in Pulung Maragul, Angeles City Hall

The said establishment has granted me the privilege to undergo actual office practice
and agree with the following terms and conditions:
1. I will be responsible for my acts during my training.
2. That the Holy Angel University and the abovementioned establishment will not
be held liable for any injury/illness/damages as a result of my negligence that
may occur during my Practicum Training period.
3. I will observe the rules of etiquette at all times. I will follow the rules and
regulations pertinent to practicum training as discussed by the practicum
coordinator during orientation.
4. I am aware that any violation of the rules and regulation and any form of
misdemeanor may result to disciplinary action depending upon the gravity of the
said misdemeanor.

Lopez, Raffy D.

November 10, 2014

Signature of Student Over Printed Name

Date

CONFORME
Sarah D. Lopez

Joy Anne Evaristo/ Leah Manalang

Signature of Parent/Guardian Over Printed Name

Signature of School Practicum Coordinator

Atty. Anselma D. Medina

Public Attorney II
Officer-in-Charge

Students Copy

COLLEGE OF BUSINESS AND ACCOUNTANCY

HOLY ANGEL UNIVERSITY
Angeles City

R E P LY

FORM

Name of the Company: Public Attorneys Office

Address: Pulung Maragul, Angeles City
Phone Number : 322-2398
Contact Person & Position: Atty. Anselma D. Medina/Officer-in-Charge
Name of Student: Raffy D.Lopez
Based on our assessment of the student/s qualifications and abilities:
_________

We will accommodate student/s.

__________

We can not accommodate student/s due to:

____________________________________________________
____________________________________________________

__________

others:
____________________________________________________

Atty. Anselma D. Medina

Company Representative Signature

Original Copy

November 10, 2014

Date

COLLEGE OF BUSINESS AND ACCOUNTANCY

HOLY ANGEL UNIVERSITY
Angeles City

R E P LY

FORM

Name of the Company: Public Attorneys Office

Address: Pulung Maragul, Angeles City
Phone Number : 322-2398
Contact Person & Position: Atty. Anselma D. Medina/Officer-in-Charge
Name of Student: Raffy D.Lopez
Based on our assessment of the student/s qualifications and abilities:
_________

We will accommodate student/s.

__________

We can not accommodate student/s due to:

____________________________________________________
____________________________________________________

__________

others:
____________________________________________________

Atty. Anselma D. Medina

Company Representative Signature

November 10, 2014

Date

Republic of the Philippines

Department of Labor and Employment
Bureau of Labor Standards
Manila
APPLICATION FOR SPECIAL CERTIFICATE TO EMPLOY LEARNER OR APPRENTICE
WITHOUT COMPENSATION AS A REQUIREMENT OF A SCHOOL CURRICULUM OR AS
A PRE-REQUISITE TO A BOARD EXAMINATION.
_________________________________________________________________________
___________________________________________________________________
This application must be accompanied by a certification from the school attended by
the apprentice stating the number of hours of On-the-Job Training required the curriculum
course being taken. Attached recent photo of apprentice. Application not fully accomplished
shall not be entertained.
______________________________________________________________________
1. Name of Establishment: Public Attorneys Office
2. Address of Location: Pulung Maragul, Angeles City
3. Name of Proposed Apprentice/Student-Trainee: Raffy D. Lopez
4. Name of Institution: Holy Angel University
5. Nature of Training: On-the-job-Training
6. Period of Training: 250 Hours
7. Number of Hours to be spent daily: 4-8 Hours
The undersigned certifies that the information given above is true and correct and
that the employment of the above-named apprentice will not prejudice the existing office
personnel of the establishment and that the picture attached is that of apprentice; and that
the said practice/training will not be a ground for employment on any position that may
become vacant in the future.

RECENT
PICTURE

Atty. Anselma D. Medina

Signature of the Employer Over
Printed Name
Public Attorney II OIC
Designation

___________________

Lopez, Raffy D.
Fiesta Communities, Brgy. Tabun

November 10, 2014

Date

Angeles City