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OUR LADY OF GUADALUPE COLLEGES, INC.

,
COLLEGE OF NURSING
Sierra Madre St. Corner I. Esteban Sts., Mandaluyong City
Tel. No.: 535 - 5885 / 535 - 5886

RELATED LEARNING EXPERIENCE


SUMMARY OF GRADES
_____ Semester AY: _____

Group No.: ____________________ Year - Block: ___________________ Rotation No.: __________


Affiliating Institution: ______________________________________________________ Area: _________________________
Inclusive Dates: ___________________________________________________________ Shift: _________________________

SKILLS KNOWLEDGEATTITUDE TOTALABSENCES / TARDINESS


NO. NAME OF STUDENT
40% 40% 20% GRADE(excused / unexcused)
1
2
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5
6
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8
9
10
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Submitted by: Note: Please fill the data needed


COMPLETELY

Printed Name and Signature of Clinical Instructor Encoded by:

Received by: Level Coordinator

Additional Remarks by the Clinical Instructor


for the reason of student's absence and tardiness

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