St. Albert Trail Place Telephone 780.484.

8886
13163 146 Street Fax 780.484.9069
Edmonton, AB T5L 4S8 Toll Free 1.800.661.5877
www.clpna.com

OFFICIAL TAX RECEIPT

Received From: Sadiq Bello

Registration # 43784
Receipt #: 153402
Effective: 17-Mar-2017
Sadiq Bello
Expiry: 31-Dec-2017
301-355 Avenue 7 South
Saskatoon SK S7M 3A9 Date Paid: 17-Mar-2017
Total Paid: $ 405.00
Tax Deductible: $ 350.00

MESSAGE FROM THE REGISTRATION DEPARTMENT

This information was obtained from the Member Profile section of the College of Licensed Practical Nurses of Alberta
website www.clpna.com on 17-Mar-2017 and at 04:02:10 PM.

This information should be considered current as of the date and time shown, and is subject to change. CLPNA makes
every effort to ensure that all of the information displayed is accurate, however, in the event of a discrepancy between
the information displayed on this document and that provided by the Registrar, the Registrar will be deemed to be
correct.

For proof of current Registration status, use the CLPNAs Public Registry of LPNs at www.clpna.com/employers/public-
registry.

Mandatory Registration
Pursuant to section 46(1) of the Health Professions Act, Mandatory Registration is required if you meet the
requirements set out for registration as a regulated member and are going to be performing restricted activities as set
out in the Licensed Practical Nurses Profession Regulation.

Type = Registration Type

Active Authorized to practice as an LPN in Alberta.

Associate NOT authorized to practice as an LPN in Alberta. Non-practicing registration type.
Limited Authorized to practice as an LPN in Alberta with educational restrictions.
Temporary Authorized to practice as an LPN in Alberta. New graduate. Canadian Practical Nurse Registration
Exam not yet successfully completed. See CLPNA Practice Statement 2: Temporary Registration.

Specializations = Authorized to perform Specialized Practice. See CLPNA Practice Statement 7: Specialized Practice.

Conditions = Indicates any of the following. Contact CLPNA for details:

Nursing practice activities the member is NOT permitted to perform.

Education the member has NOT completed.
Canadian Practical Nurse Registration Exam (CPNRE) NOT yet successfully completed

2017 PRACTICE PERMIT Specializations Conditions

Sadiq Bello
LICENSED PRACTICAL NURSE

Reg #: 43784 Type: Active

Effective: 17-Mar-2017 Expiry: 31-Dec-2017