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Dole Form

This document is an application for a special certificate to employ an apprentice without compensation as required by their school curriculum. It includes information about the name and address of the establishment requesting the apprentice, the name of the proposed apprentice and their school, the nature and period of training, and hours to be spent daily. The employer certifies the information is true and the apprenticeship will not prejudice existing employees or be grounds for future employment. Attached is a recent photo of the apprentice and their signature agreeing to the training.

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Jhonan Abrea Lanon
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© © All Rights Reserved
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515 views

Dole Form

This document is an application for a special certificate to employ an apprentice without compensation as required by their school curriculum. It includes information about the name and address of the establishment requesting the apprentice, the name of the proposed apprentice and their school, the nature and period of training, and hours to be spent daily. The employer certifies the information is true and the apprenticeship will not prejudice existing employees or be grounds for future employment. Attached is a recent photo of the apprentice and their signature agreeing to the training.

Uploaded by

Jhonan Abrea Lanon
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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___________________________________

Name of School

____________________________________
Address of School

________________
Date

ENDORSEMENT

Respectfully endorsed to ________________________________________ the herein

attached application of ______________________________________ a bonafide student

of ______________________________________ , for apprenticeship-training in the field of

______________________________________ .

This is in compliance with the requirements of the regular course in

________________________________________ .

____________________________________
Dean, College of ____________________
Republic of the Philippines
Department of Labor and Employment
City of San Fernando, Pampanga

APPLICATION FOR SPECIAL CERTIFICATE TO EMPLOY LEARNER OR APPRENTICE


WITHOUT COMPENSATION AS A REQUIREMENT OF A SCHOOL CURRICULUM OR
AS 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. Attach recent photo of apprentice.
Application not fully accomplished shall not be entertained.
__________________________________________________________________________________

1.Name of Establishment _________________________________________________

2.Address of Location _____________________________________________________

3.Name of Proposed Apprentice/Student-Trainee ___________________________

4.Name of Institution ______________________________________________________

5.Nature of Training ________________________________________________________

6.Period of Training ________________________________________________________

7.Number of Hours to be spent Daily ________________________________________

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.

________________________________
Signature of the Employer over
RECENT Printed Name
PICTURE
________________________________
Designation

________________________________
Date
_________________________
Signature of Apprentice

_________________________
Address
WAIVER

_______________________________
_________________________________
_________________________________

TO WHOM IT MAY CONCERN:

This is to certify that I, _____________________________________ , parent / guardian


of ______________________________________ , a student of
_______________________________________ , grant his permission to undergo on-the-job
training at the _______________________________________ from ______________________
to _______________________.

I understand and agree that this training is necessary as well as important in the
implementation and continuation of the ________________________________ course
being taken in said school.

I further agree and affirm that the ___________________________________


and the ____________________________________ are in no way responsible nor shall they
pay compensation from any incident, harm or injury that may be caused on his/her
person during the training and that this student will undergo said actual job training.

I also certify that he/she on his/her own free will, signified to me his/her decision
to undergo his/her on-the-job training as evidence by his/her signature affixed below
together with my own signature.

____________________________ _____________________________
Student Trainee Parent/Guardian

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