QF SIP 02 Student Internship Program Agreement 11112021 2

Industry Linkages and Development
Republic of the Philippines Department:

Office
ILOILO SCIENCE AND TECHNOLOGY UNIVERSITY
La Paz, Iloilo City Document Code: QF-SIP-02
Rev. No.: 04
STUDENT INTERNSHIP PROGRAM AGREEMENT Effective Date: November 30, 2021
I. The NJS AUTO CARE will permit

(Name of SIP Center)
KAIZER VON M. VALES to enter its premises as a
(Name of Student Intern)
student-intern for purposes of gaining experience in the field of Automotive Technology .
(Course Major)
II. The training course requires 600 hours of work experience. The student-trainee will
report in accordance with the approved work schedule of the training center (APRIL to
__________2023)
III. The SIP supervisor and/or ILDO coordinator shall, with the assistance of the SIP Center
Supervisor, prepare a training plan for the student-intern.
IV. The student-intern shall not be paid compensation; however, the SIP Center is not
prohibited to provide allowance to the student-intern at its own discretion.
V. There shall be no employer-employee relationship between the student-intern and the SIP
Center. Neither shall the student-intern displace a regular worker, nor substitute for a
worker needed by the SIP Center.
VI. The student-intern while in the process of gaining occupational experience, will not be
permitted to remain in any operation, job, or phase of the occupation beyond the period of
time necessary for him to become proficient.
VII. The parent/guardian shall be responsible for the personal conduct of the student-intern
while on training, which may result to damages or injury to the SIP Center, fellow interns
and company personnel, arising from the student-intern’s negligence and/or malicious
acts.
VIII. All complaints relative to the student internship program either raised by the student-intern
or the SIP Center, shall be channeled to the SIP Supervisor and/or ILDO Coordinator for
proper disposition.
IX. The SIP Supervisor and/or ILDO Coordinator and the SIP Center Supervisor shall have
the authority to transfer or withdraw the student-intern from the SIP Center for any valid
reason.
X. The Internship Program of the student-intern shall conform to the rules and regulations of
the SIP Center, as well as policy guidelines and issuances of the University, Department
of Labor and Employment (DOLE) and other valid laws of the Republic of the Philippines.
__SAMMY A. DAITAO, Ph.D.-TM _____KAIZER VON. M. VALES_____

SIP Supervisor Student-Intern
_______ENGR. GRACE C. GO_______ ______JOVI M. VALES___________

ILDO Coordinator Parent/Guardian
___SAMMY A. DAITAO, Ph.D.-TM____ NOLEN JOHN SAMULDE

Program Coordinator/Department Head SIP Center Representative/Supervisor
_______RENE L. CELDA, D.I.T._______

Dean/Campus Administrator
Date
Page 1 of 4
Office
Rev. No.: 04
DR. SAMMY A. DAITAO

SIP Supervisor, Automotive Technology
Iloilo Science and Technology University
Iloilo City Campus
Sir/Madam:
I, the undersigned parent/guardian of KAIZER VON M. VALES

(Name of Student)
hereby request that my son/daughter presently enrolled in ____BIT- Automotive Technology_________
(Course, Year, Section and Major)
at Iloilo Science and Technology University _____Iloilo City____ Campus, be permitted to participate
in the Student Internship Program as agreed by your school and NOLEN AND BOYET AUTO CARE
(SIP Center)
subject to the following conditions:
1. No compensation shall be given to my son/daughter during the duration of his/her internship

training except any allowance which the SIP Center may desire to give him/her at its own
discretion.
2. The University shall not be liable for any injury/sickness that my son/daughter may incur
arising from his/her Internship training program; and
3. As the parent/guardian, I shall be responsible for the personal conduct of the my

son/daughter as a student-intern while on training, which may result to damages or injury to
the SIP Center, fellow inters and company personnel, arising from my son/daughter’s
negligence and/or malicious acts.
Very truly yours,
JOVI M. VALES
(Parent/Guardian)
Accepted:
SAMMY A. DAITAO, Ph.D.-TM

SIP Supervisor
Page 2 of 4
Office
Rev. No.: 04
Brgy. Talanghauan,
Cabatauan, Iloilo
(Parents Address)
NOLEN AND BOYET AUTO CARE
Brgy. Baguit, Cabatuan, Iloilo
(Name and address of Company)
Sir/Madam:

(Name of Student)
hereby request that my son/daughter presently enrolled in ____BIT-Automotive Technology_________
at Iloilo Science and Technology University ____Iloilo City___ Campus, be permitted to participate
in the Student Internship Program as agreed by NOLEN AND BOYET AUTO CARE
(SIP Center)
and the aforementioned university, subject to the following conditions:
1. The internship training shall not in any way give rise to employer-employee relationship.
2. No compensation shall be given to my son/daughter during the duration of his/her internship
training except any allowance which the SIP Center may desire to give him/her at its own
discretion.
3. The SIP Center reserves the right to terminate, at any given time for any valid reason, the
student under training.
4. The SIP Center is not obliged to hire the student-intern after the period of his/her training.
5. The parent/guardian shall be responsible for the personal conduct of the student-intern while
on training, which may result to damages or injury to the SIP Center, fellow interns and
company personnel, arising from the student-intern’s negligence and/or malicious acts.
6. The SIP Center shall provide First-Aid treatment to student-interns in the event of an injury or
accident while on training and transport them to the nearest hospital or clinic for proper
medical care. Provided however, that hospitalization and/or cost of confinement shall not be
borne solely by the SIP Center unless proven that the cause of injury/accident is attributed to
the fault or negligence of the SIP Center’s official/s or employee/s, in which proper
investigation by the University and the SIP Center shall be considered.
Very truly yours,
(Signature above Printed Name of Parent/Guardian)
Noted: Accepted:
__SAMMY A. DAITAO, Ph.D.-TM

SIP Supervisor NOLEN JOHN SAMULDE
Page 3 of 4
Office
Rev. No.: 04
(SIP Center Representative/Supervisor)
Brgy. Talanghauan,
Cabatauan, Iloilo
(Parents Address)
NOLEN AND BOYET AUTO CARE
Brgy. Baguit, Cabatuan, Iloilo
(Name and address of Company)
Sir/Madam:

(Name of Student)
hereby request that my son/daughter presently enrolled in ____BIT-Automotive Technology_________
at Iloilo Science and Technology University ____Iloilo City___ Campus, be permitted to participate
in the Student Internship Program as agreed by NOLEN AND BOYET AUTO CARE
(SIP Center)
and the aforementioned University, subject to the following conditions:
Render overtime service to the SIP Center
Serve the internship hours in a shifting schedule
Very truly yours,
(Signature above Printed Name of Parent/Guardian)
Noted: Accepted:
__SAMMY A. DAITAO, Ph.D.-TM_

SIP Supervisor NOLEN JOHN SAMULDE
(SIP Center Representative/Supervisor)
Page 4 of 4

QF SIP 02 Student Internship Program Agreement 11112021 2

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Industry Linkages and Development

Republic of the Philippines Department:

I. The NJS AUTO CARE will permit

__SAMMY A. DAITAO, Ph.D.-TM _____KAIZER VON. M. VALES_____

_______ENGR. GRACE C. GO_______ ______JOVI M. VALES___________

___SAMMY A. DAITAO, Ph.D.-TM____ NOLEN JOHN SAMULDE

_______RENE L. CELDA, D.I.T._______

DR. SAMMY A. DAITAO

I, the undersigned parent/guardian of KAIZER VON M. VALES

1. No compensation shall be given to my son/daughter during the duration of his/her internship

3. As the parent/guardian, I shall be responsible for the personal conduct of the my

Very truly yours,

SAMMY A. DAITAO, Ph.D.-TM

(Name and address of Company)

I, the undersigned parent/guardian of KAIZER VON M. VALES

Very truly yours,

(Signature above Printed Name of Parent/Guardian)

__SAMMY A. DAITAO, Ph.D.-TM

(SIP Center Representative/Supervisor)

(Name and address of Company)

I, the undersigned parent/guardian of KAIZER VON M. VALES

Render overtime service to the SIP Center

Serve the internship hours in a shifting schedule

Very truly yours,

(Signature above Printed Name of Parent/Guardian)

__SAMMY A. DAITAO, Ph.D.-TM_

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SAMMY A. DAITAO, Ph.D.-TM _KAIZER VON. M. VALES___

___ENGR. GRACE C. GO_ JOVI M. VALES_______

_SAMMY A. DAITAO, Ph.D.-TM__ NOLEN JOHN SAMULDE

_RENE L. CELDA, D.I.T._