OUR LADY OF FATIMA

UNIVERSITY
College of Business and Accountancy
Antipolo City

SWEP APPLICATION FORM

CBA-195-12-00

Date Filed:

10/12/2021

Name:

MENDEZ MARIA CEL CAPOQUIAN

(Last Name) (First Name) (Middle Name)

Complete Address:

BLOCK 14 LOT 7 PHASE 1 BARANGAY SAN ISIDRO ANTIPOLO CITY, RIZAL

2

E-Mail Address: mcmendez@student.fatima.edu.ph

Facebook Account: m.me/mariacelm
Telephone Number: NONE
Mobile Number/s: (+63) 9275584328

We have read, studied and understood the contents of the Supervised Work Experience Program
Manual of the Our Lady of Fatima University, College of Business and Accountancy during the
Practicum Orientation Seminar last September 10, 2021 and will abide by the school policies
therein printed.

MENDEZ, MARIA CEL C. MENDEZ, ARMANDO G.

Signature over Printed Name Signature over Printed Name
Student Parent / Guardian

-------------------- TO BE FILLED UP BY PRACTICUM COORDINATOR --------------------

Name of Establishment Department Date Started Date Finished