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Republic of the Philippines

CAGAYAN STATE UNIVERSITY


Aparri, Cagayan

COLLEGE OF NURSING
ATTENDANCE MONITORING SHEET
RLE DUTY

Name of Clinical Instructor: _________________________________


Institution: ____________________________________________

DATE:

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SIGNATURE
over printed name
(Authorized Official)

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POSITION

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I certify on my honor that the above is true and correct report of the RLE duty days held in this
institution. Record of which was made in accordance with Rotational Plan submitted in the
office.

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Clinical Instructors Signature

Verified as to the prescribed RLE Days and Hours

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Chief Nurse

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