Republic of the Philippines

UNIVERSITY OF RIZAL SYSTEM

Province of Rizal

Office of Student Development Services

Student OJT & Placement Unit
Isidro S. Rodriguez, Student Development Center Building, Telephone: 8-899-36-05, E-mail: ojtandplacement@urs.edu.ph

CERTIFICATION OF ACCEPTANCE
INTERNSHIP

This is to certify that JOLAND AFU REGALADO a 4th year Bachelor of Science
in Civil Engineering student of University of Rizal System Morong Campus has been
accepted for the 240 hours in Practicum with the following details of internship:

Name of the Company : ______________________________

Immediate Supervisor
Division/Unit/Department
Tel. No./Cellphone No.
Expected Start Date of OJT
Expected End Date of OJT
Online Reporting Schedule
Dress Code
: ______________________________
: ______________________________
: ______________________________
: ______________________________
: ______________________________
: ______________________________
______________________________
: ______________________________

The company further agrees to mutually consult with assigned SIPP Coordinator
or any authorized representative of the said institution to discuss the trainee’s work
progress and further affirms that the Performance Rating Sheet will be released three
weeks before the end of the training and the Certification of Completion after the end of
the specified training schedule.

Signed this ___day of _____________, 2022, ___________________________,

Philippines.

Name and Signature of:

Authorized Officer _________________________________________

Designation _________________________________________
Office Address _________________________________________
Telephone Number/s _________________________________________
Email Address _________________________________________

UNIV-OJT-F-02 Rev 00 Effectivity Date: January 18, 2022

“Nurturing Tomorrow’s Noblest”

URS Angono Tel 8651-0346 URS Cainta Tel 8359-8776 URS Pililla Tel 8654-4465
URS Antipolo Tel/Fax 8697-5773 URS Cardona Tel 8359-8694 URS Rodriguez Tel 8997-9765
URS Binangonan Tel 8652-1018 URS Morong Tel 8653-1735 URS Taytay Tel 8664-6393