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ICS - OJT 2010 : Student Information Sheet
Student Information Sheet of the Information and Computer Studies Department
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* Indicates required question
Student No:
*
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
Your answer
Auxiliary Name
Jr, Sr, II, III
Your answer
Course
*
Choose
--Choose--
Computer Science
Information Systems
Information Technology
Section
*
What section are enrolled in?
Choose
--Choose--
3CSA - Ms. Susan Estanislao
3CSB - Engr. Alex Santos
3CSC - Ms. Arne Barcelo
3ITA - Mr. Gem Yabut
3ITB - Ms. Maricel Afurong
3ITC - Ms. Rochelle Lopez
3ITD - Mr. John Barrios
3ISA - Ms. Anne Michelle Santos
3ISB - Ms. Perla Cosme
3ISC - Ms. Mildred Duran
PRACT Sem:
*
Choose
1st Sem (Pract2)
Summer (Pract1)
Mobile No / Telephone No
*
your contact info
Your answer
Email Address
*
your email address
Your answer
Company Name
*
Your answer
Department / Division
Your answer
Company Address
*
Bldg Name, Flr #, Street, Village/ Barangay, Muncipality
Your answer
Company Address - City
*
Your answer
Contact Info.
*
Telephone, Fax , Email Add
Your answer
Name of Immediate Supervisor
*
Your answer
Position / Designation
*
Your answer
Contact No.
*
Tel No / Fax No
Your answer
Email Address
*
Supervisor's Email Address
Your answer
Name of Supervior (2)
if there is any
Your answer
Position / Designation
Your answer
Contact No
Your answer
Email Address
Your answer
Vicinity Map of the Office
where the company is located? post here a link of google maps or photo of the map
Your answer
How to get to your Office
*
Detailed description on how to reach your OJT company. Assume the point of origin is UST
Your answer
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