SCIENCE EDUCATION INSTITUTEDepartment of Science and Technology

Levels 1&2, Science Heritage Bldg., DOST Complex, Bicutan, Taguig City

2016 SUMMER PRACTICAL TRAINING (SPTP)

REPLY SLIP

Date: April 26, 2016

MS. ALICIA L. ASUNCIONChiefS&T Scholarship Division

Re- Plan for Summer Practical Training

1. [ ] I will undertake the 2016 Summer Practical Training; (June 20- July 29)2. [ ] I will need a referral letter. Please address it to:

(1) (2) (3)

Contact Person Mr. JOEL B. TORRES JR. Mrs. REMEDIOS FLORENDO

Designation Field Service Supervisor Station Manager

Company/ InstitutePLDT (Philippine Long Distance Telephone Company)

ABS CBN (LAOAG) SMART WIRELESS CENTER (SMART COMMUNICATIONS, INCORPORATED)

Address Brgy. 11 P. Lazaro St., Laoag City, Ilocos Norte 2F CAP Bldg. Brgy 9, Laoag City

G/F Gloria Building, National Highway, Candon, Ilocos Sur 2710

Phone No. 770-50-00 772-2713 +63(77)6440075

(Maximum of three [3] referral letters may be provided per scholar. Please make an effort to get the correct name and designation of the contact person. This can make a difference to your application for SPTP.)

2. [ ] I cannot participate in the training

Name of Scholar: Rachele T. Brendez Sex: Female Signature: ___________________________

Batch/Scholarship Program (Please check)[ ] 2012 RA 7687 (5-year course) [ ] 2013 RA 7687 (4-year course)[ ] 2012 Merit (5-year course) [ ] 2013 Merit (4-year course)

Course/School : Mariano Marcos State UniversityMailing address : #1 Juan, Solsona, Ilocos NorteE-mail address: rachelbrend@gmail.com Phone No. 09482900567Mode of Release (Please check)

[ ] For pick-up [ ] For mailingSPTP-FORM1