PRE-DEPLOYMENT REQUIREMENTS

1. INTERN PROFILE

NAME: Nicole A. Balais______________________________ CONTACT #:09382808852_________

NICKNAME: Nicole_________________________________ GENDER: Female_____________
BIRTHDATE: March 18, 2003__________________________AGE: 21__________________________
PRESENT ADDRESS: Brgy. Calingcaguing Barugo, Leyte_____________________________________
PARENTS/GUARDIANS: Harold Q. Balais_________________________________________________
ADDRESS: Brgy. Calincaguing Barugo, Leyte______________CONTACT #: 09691338920__________
SCHOOL: Leyte Colleges_______________________________CONTACT #: 09266471039__________
COLLEGE: College of Criminal Justice_____________________________________________________
COURSE: BS Criminology_______________________________YEAR: 4th Year____________________

SEMINARS AND TRAININGS ATTENDED:

_____________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________

ACADEMIC SUBJECTS ENROLLED (if any)

Subjects Units Schedule Instructor

_______________________
Signature

Noted: _________________________
Intern Coordinator
PRE-DEPLOYMENT REQUIREMENTS

1. INTERN PROFILE

NAME: Nicole A. Balais______________________________ CONTACT #:09382808852_________

NICKNAME: Nicole_________________________________ GENDER: Female_____________
BIRTHDATE: March 18, 2003__________________________AGE: 21__________________________
PRESENT ADDRESS: Brgy. Calingcaguing Barugo, Leyte_____________________________________
PARENTS/GUARDIANS: Dianne Q. Balais_________________________________________________
ADDRESS: Brgy. Calincaguing Barugo, Leyte______________CONTACT #: 09691338920__________
SCHOOL: Leyte Colleges_______________________________CONTACT #: 09266471039__________
COLLEGE: College of Criminal Justice_____________________________________________________
COURSE: BS Criminology_______________________________YEAR: 4th Year____________________

SEMINARS AND TRAININGS ATTENDED:

_____________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________

ACADEMIC SUBJECTS ENROLLED (if any)

Subjects Units Schedule Instructor

_______________________
Signature

Noted: _________________________
Intern Coordinator
PRE-DEPLOYMENT REQUIREMENTS

1. INTERN PROFILE

NAME: Francis Carl T. Colibao______________________________ CONTACT #:09691338920 _______

NICKNAME: Francis _________________________________ GENDER: Male _____________
BIRTHDATE: June 25, 2002 __________________________AGE: 22__________________________
PRESENT ADDRESS: Brgy. San Roque Barugo, Leyte _____________________________________
PARENTS/GUARDIANS: Concepcion A. Colibao_________________________________________________
ADDRESS: Brgy. San Roque Barugo, Leyte ______________CONTACT #: 09124216979__________
SCHOOL: Leyte Colleges _______________________________CONTACT #: 09266471039__________
COLLEGE: College of Criminal Justice_____________________________________________________
COURSE: BS Criminology_______________________________YEAR: 4th Year____________________

SEMINARS AND TRAININGS ATTENDED:

_____________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________

ACADEMIC SUBJECTS ENROLLED (if any)

Subjects Units Schedule Instructor

_______________________
Signature

Noted: _________________________
Intern Coordinator
PRE-DEPLOYMENT REQUIREMENTS

1. INTERN PROFILE

NAME: John Loyd D. Alcober ______________________________ CONTACT #:09637299532 _______

NICKNAME: Loyd _________________________________ GENDER: Male _____________
BIRTHDATE: October 25, 2002 __________________________AGE: 21________________________
PRESENT ADDRESS: Brgy. San Roque Barugo, Leyte _____________________________________
PARENTS/GUARDIANS: Judith D. Alcober_________________________________________________
ADDRESS: Brgy. San Roque Barugo, Leyte ______________CONTACT #: 09061923240__________
SCHOOL: Leyte Colleges _______________________________CONTACT #: 09266471039__________
COLLEGE: College of Criminal Justice_____________________________________________________
COURSE: BS Criminology_______________________________YEAR: 4th Year____________________

SEMINARS AND TRAININGS ATTENDED:

_____________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________

ACADEMIC SUBJECTS ENROLLED (if any)

Subjects Units Schedule Instructor

_______________________
Signature

Noted: _________________________
Intern Coordinator
PRE-DEPLOYMENT REQUIREMENTS

1. INTERN PROFILE

NAME: Kquith Justine A. Cagoyong______________________________ CONTACT #:09202495577 _______

NICKNAME: Kquith _________________________________ GENDER: Male _____________
BIRTHDATE: October 5, 2003 __________________________AGE: 20__________________________
PRESENT ADDRESS: Brgy. San Roque Barugo, Leyte _____________________________________
PARENTS/GUARDIANS: Joenaflor A. Cagoyong. _________________________________________________
ADDRESS: Brgy. San Roque Barugo, Leyte ______________CONTACT #: 09706639511 __________
SCHOOL: Leyte Colleges _______________________________CONTACT #: 09266471039__________
COLLEGE: College of Criminal Justice_____________________________________________________
COURSE: BS Criminology_______________________________YEAR: 4th Year____________________

SEMINARS AND TRAININGS ATTENDED:

_____________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________

ACADEMIC SUBJECTS ENROLLED (if any)

Subjects Units Schedule Instructor

_______________________
Signature

Noted: _________________________
Intern Coordinator
 LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE

PARENTAL CONSENT

Permission is hereby granted to my/our son/daughter, Nicole Ariza Balais a fourth (4th) year criminology student
of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM for a period of Two Hundred Seventy (270)
hours.

I/WE hereby acknowledge that sufficient information has been provided by the school with respect to the
planned activity, duration, location, method of transportation, and supervision; that certain RISKS or INJURIES are
inherent to participate in learning activities outside the school.

I/WE understand that the rules and regulation established for this type of activity are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulations; that the
higher institution (school) and the host agency are not liable for any unavoidable circumstances that may arise during
the course of the Practicum.

I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby consent to
allow my/our son/daughter to participate, acknowledging all the foregoing.

IN WITNESS WHEREOF, I/WE hereunto affix our signature this 15 day of August 2024, at Brgy.
Calingcaguing Barugo, Leyte Philippines.

Harold Q. Balais _______________

Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No. 8360-7201-3981-9317 Valid ID No.

SUBSCRIBED AND SWORN TO before me this 15 day of August 2024, at Brgy. Calingcaguing Barugo,
Leyte Philippines.

_________________________
Notary Public
 LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE

PARENTAL CONSENT

Permission is hereby granted to my/our son/daughter, Rose Marie C. Panis a fourth (4th) year criminology
student of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM for a period of Two Hundred
Seventy (270) hours.

I/WE hereby acknowledge that sufficient information has been provided by the school with respect to the
planned activity, duration, location, method of transportation, and supervision; that certain RISKS or INJURIES are
inherent to participate in learning activities outside the school.

I/WE understand that the rules and regulation established for this type of activity are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulations; that the
higher institution (school) and the host agency are not liable for any unavoidable circumstances that may arise during
the course of the Practicum.

I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby consent to
allow my/our son/daughter to participate, acknowledging all the foregoing.

IN WITNESS WHEREOF, I/WE hereunto affix our signature this 15 day of August 2024, at Brgy.
Calingcaguing Barugo, Leyte Philippines.

Eduardo C. Panis Elisa C. Panis

Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No.3706-0039A-F0573ECP10000 Valid ID No. 5836-0249-0534-2084

SUBSCRIBED AND SWORN TO before me this 15 day of August 2024, at Brgy. Calingcaguing Barugo,
Leyte Philippines.

_________________________
Notary Public
 LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE

PARENTAL CONSENT

Permission is hereby granted to my/our son/daughter, Francis Carl T. Colibao a fourth (4th) year criminology
student of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM for a period of Two Hundred
Seventy (270) hours.

I/WE hereby acknowledge that sufficient information has been provided by the school with respect to the
planned activity, duration, location, method of transportation, and supervision; that certain RISKS or INJURIES are
inherent to participate in learning activities outside the school.

I/WE understand that the rules and regulation established for this type of activity are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulations; that the
higher institution (school) and the host agency are not liable for any unavoidable circumstances that may arise during
the course of the Practicum.

I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby consent to
allow my/our son/daughter to participate, acknowledging all the foregoing.

IN WITNESS WHEREOF, I/WE hereunto affix our signature this 15 day of August 2024, at Brgy. San Roque
Barugo, Leyte Philippines.

Conception A. Colibao _______________

Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No. 6501-5462-3580-7648 Valid ID No.

SUBSCRIBED AND SWORN TO before me this 15 day of August 2024, at Brgy. San Roque Barugo, Leyte
Philippines.

_________________________
Notary Public
 LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE

PARENTAL CONSENT

Permission is hereby granted to my/our son/daughter, John Loyd D. Alcober a fourth (4th) year criminology
student of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM for a period of Two Hundred
Seventy (270) hours.

I/WE hereby acknowledge that sufficient information has been provided by the school with respect to the
planned activity, duration, location, method of transportation, and supervision; that certain RISKS or INJURIES are
inherent to participate in learning activities outside the school.

I/WE understand that the rules and regulation established for this type of activity are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulations; that the
higher institution (school) and the host agency are not liable for any unavoidable circumstances that may arise during
the course of the Practicum.

I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby consent to
allow my/our son/daughter to participate, acknowledging all the foregoing.

IN WITNESS WHEREOF, I/WE hereunto affix our signature this 15 day of August 2024, at Brgy. San Roque
Barugo, Leyte Philippines.

Vicente A. Alcober Judith D. Alcober

Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No.3867-3624-8019-3058 Valid ID No. 3049-5645-7182-5124

SUBSCRIBED AND SWORN TO before me this 15 day of August 2024, at Brgy. San Roque Barugo, Leyte
Philippines.

_________________________
Notary Public
 LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE

PARENTAL CONSENT

Permission is hereby granted to my/our son/daughter, Nicole Ariza Balais a fourth (4th) year criminology student
of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM for a period of Two Hundred Seventy (270)
hours.

I/WE hereby acknowledge that sufficient information has been provided by the school with respect to the
planned activity, duration, location, method of transportation, and supervision; that certain RISKS or INJURIES are
inherent to participate in learning activities outside the school.

I/WE understand that the rules and regulation established for this type of activity are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulations; that the
higher institution (school) and the host agency are not liable for any unavoidable circumstances that may arise during
the course of the Practicum.

I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby consent to
allow my/our son/daughter to participate, acknowledging all the foregoing.

IN WITNESS WHEREOF, I/WE hereunto affix our signature this 15 day of August 2024, at Brgy.
Calingcaguing Barugo, Leyte Philippines.

Dianne Q. Balais _______________

Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No. 8360-7201-3981-9317 Valid ID No.

SUBSCRIBED AND SWORN TO before me this 15 day of August 2024, at Brgy. Calingcaguing Barugo,
Leyte Philippines.

_________________________
Notary Public
 LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE

PARENTAL CONSENT

Permission is hereby granted to my/our son/daughter, Kquith Justine A. Cagoyong a fourth (4th) year
criminology student of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM for a period of Two
Hundred Seventy (270) hours.

I/WE hereby acknowledge that sufficient information has been provided by the school with respect to the
planned activity, duration, location, method of transportation, and supervision; that certain RISKS or INJURIES are
inherent to participate in learning activities outside the school.

I/WE understand that the rules and regulation established for this type of activity are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulations; that the
higher institution (school) and the host agency are not liable for any unavoidable circumstances that may arise during
the course of the Practicum.

I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby consent to
allow my/our son/daughter to participate, acknowledging all the foregoing.

IN WITNESS WHEREOF, I/WE hereunto affix our signature this 15 day of August 2024, at Brgy. San Roque
Barugo, Leyte Philippines.

Joseph P. Cagoyong Judith D. Alcober

Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No. 24G0800371 Valid ID No. 13-050138982-0

SUBSCRIBED AND SWORN TO before me this 15 day of August 2024, at Brgy. San Roque Barugo, Leyte
Philippines.

_________________________
Notary Public