Vous êtes sur la page 1sur 4

Mindanao State University Iligan Institute of Technology COLLEGE OF NURSING In partnership with the Office of the Vice Chancellor

for Research and Extension In coordination with the College of Nursing Executive Council and the City Health Office We Care: Pagtambayayong sa Paglambo sa Tibanga Project through Operation Timbang, Feeding, Technology Transfer and Health Teaching Program July 31, 2013 1:30PM Multi-purpose Hall, Barangay Tibanga, Iligan City

ATTENDANCE
Name of Participant Office Contact Number E-mail address Signature

Name of Participant

Office

Contact Number

E-mail address

Signature

Prepared By: Noted By: Prof. Leah May Madjus, RN, MN Prof. Karen Veloso RN Bultron, Joliza Lopez, Genevi Prof. Jiddo Andrei Maranda, RN, MAN Extension Program Coordinator

Mindanao State University Iligan Institute of Technology COLLEGE OF NURSING In partnership with the Office of the Vice Chancellor for Research and Extension In coordination with the College of Nursing Executive Council and the City Health Office We Care: Pagtambayayong sa Paglambo sa Tibanga Project through Operation Timbang, Feeding, Technology Transfer and Health Teaching Program July 31, 2013 1:30PM Multi-purpose Hall, Barangay Tibanga, Iligan City

ATTENDANCE
Parents Name Childs Name Age Weight Purok Address School Parents Signature

Parents Name

Childs Name

Age

Weight

Purok Address

School

Parents Signature

Prepared By: Noted By: Prof. Leah May Madjus, RN, MN Prof. Karen Veloso RN Bultron, Joliza Lopez, Genevi Prof. Jiddo Andrei Maranda, RN, MAN Extension Program Coordinator

Vous aimerez peut-être aussi