LOG BOOK FOR M.

Phil PROGRAMS
in
BASIC BIOMEDICAL HEALTH SCIENCES

2006

KING EDWARD MEDICAL UNIVERSITY, LAHORE

(i)
 CONTENTS
SECTION-1
1. PARTICULARS OF THE CANDIDATE
2. OBJECTIVES OF THE LOG BOOK
3. INSTRUCTIONS TO THE STUDENTS
4. GUIDELINES FOR THE PROJECT DIRECTOR
5. AIMS AND OBJECTIVES OF THE TRAINING PROGRAM
6. GUIDELINES FOR THE COMPETENCY LEVELS
7. GUIDELINES FOR FILLING CONSOLIDATED SHEETS
8. LIST OF DIFFERENT TYPES OF PROCEDURES
SECTION-2 (Clinical Record)
1. MODULE 01: ______________________________
2. MODULE 02: ______________________________
3. MODULE 03: ______________________________
4. MODULE 04: ______________________________
5. MODULE 05: ______________________________
6. MODULE 06: ______________________________
7. MODULE 07: ______________________________
8. MODULE 08: ______________________________
9. MODULE 09: ______________________________
10. MODULE 10: ______________________________
11. MODULE 11: ______________________________
12. MODULE 12: ______________________________

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 SECTION-I
SECTION-I

1. PARTICULARS RELATED TO THE CANDIDATE

Name:----------------------------------------------------------------------------------------------------------
Father’s/ Husband’s Name:---------------------------------------------------------------------------------
Date of Birth:--------------------------------------------------------------------------------------------------
Passport Size
N.I.C. Number:------------------------------------------------------------------------------------------------
Photograph
Nationality:-----------------------------------------------------------------------------------------------------
Diploma Registration Number:-------------------------------------------------------------------------------
Year of Graduation:--------------------------------------------------------------------------------------------
Institution of Graduation:----------------------------------------------------------------------------------------
PMDC Registration Number:---------------------------------------------------------------------------------
Any Other Qualification:---------------------------------------------------------------------------------------
Previous Experience (Department, Institution & Duration):

DESIGNATION EXPERIENCE DATE (FROM- TO)

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2. OBJECTIVES OF THE LOG BOOK

1. This Log Book will be a part of the prerequisite for appearing in the M. Phil Examination.
2. It will help the trainee to maintain his/ her record regarding various academic achievements.
3. It will also identify his/ her deficiencies in specific areas.
4. It will help the project director to assess the trainee.

3. INSTRUCTIONS TO THE STUDNETS

1. The candidate will maintain the Log Book during the whole period of his training.
2. He/ she will fill the columns of the Log Book on the same day of the activity.
3. The teacher must sign all the entries.
4. Consolidated sheets will be completed and signed by the teacher.
5. The candidate shall bring the Log Book in the final examination.
6. Log Book not signed by the teacher will make the student ineligible for the examination.

4. GUIDELINES FOR THE PROGRAM DIRECTOR

1. The name of the program director has been approved by the competent authority.
2. A formal weekly review of the student’s progress is required by the program director and the other teaching staff.
3. The aim of review by two or more teachers is to ensure to remove any deficiencies in the training of the student.
4. The program director will assign duties to the other teaching faculty members for training of the students.

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5. AIMS AND OBJECTIVES OF THE TRAINING PROGRAM

1. The student accepts the relevant subject in its full sense as a life long activity and that he/she is prepared to invest
time and effort to acquire, maintain and further improve his/her own knowledge and skills.
2. A critical appreciation of techniques, procedures is carried out in the relevant subject and an understanding of
scientific methods is acquired for reliability and validity of observations and the testing of hypothesis.
3. The ability and willingness to adopt a problem solving approach to manage clinical/research situations.
4. The ability to plan and interpret a management program with due regard to the patient’s comfort and economic factors.
5. Awareness of the role of a professional in health/research//rehabilitation/welfare teams and his/her willingness to work
cooperatively within such teams.
6. Awareness of the fact that he/she has to create his/her own professional impact as a capable specialist.
7. To pursue and develop the basic scientific pursuits and guidelines for scientific discoveries to strengthen knowledge further
about human body requirements.
8. The candidate should recognize the importance of teamwork and function as effective member/leader of the team.

6. GUIDELINES FOR THE COMPETENCY LEVELS

COMPETENCY LEVEL DETAIL

1 The student performed clinical tests/research experiments independently
2 The student performed the procedures with assistance (teaching staff)
3 The student was first assistant at the procedure
4 The student was a second or third assistant at the procedure

7. GUIDELINES FOR FILLING CONSOLIDATED SHEETS

1. The consolidated sheet forms a part of the ongoing assessment of the candidate.
2. The consolidated sheet will identify the different levels of competencies of the student in a specific period.
3. The trainee will fill all the columns of the consolidated sheet carefully.
4. The consolidated sheet will be checked by the project director with his final remarks.

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 7. LIST OF DIFFERENT TYPES OF CLINICAL TESTS/EXPERIMENTS PERFORMED IN THE RELEVANT
DEPARTMENT

Sr. Place of Special Instructional outcomes Teacher

No. study

1.

2.

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(5)
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 MODULE 01: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

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FORMATIVE EVALUATION FOR MODULE 1

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(10)
 MODULE 02: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(11)
FORMATIVE EVALUATIONS FOR MODULE 2

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(12)
 MODULE 03: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(13)
FORMATIVE EVALUATIONS FOR MODULE 3

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

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MODULE 04: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(15)
FORMATIVE EVALUATIONS FOR MODULE 4

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(16)
 MODULE 05: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(17)
FORMATIVE EVALUATIONS FOR MODULE 5

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(18)
 MODULE 06: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(19)
FORMATIVE EVALUATIONS FOR MODULE 6

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

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 MODULE 07: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(21)
FORMATIVE EVALUATIONS FOR MODULE 7

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(22)
 MODULE 08: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(23)
FORMATIVE EVALUATIONS FOR MODULE 8

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(24)
 MODULE 09: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(25)
FORMATIVE EVALUATIONS FOR MODULE 9

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(26)
 MODULE 10: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(27)
 FORMATIVE EVALUATIONS FOR MODULE 10

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(28)
 MODULE 11: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(29)
 FORMATIVE EVALUATIONS FOR MODULE 11

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

(30)
 MODULE 12: _____________________________________

S NO DATE LEARNING BY THE STUDENT VERIFICATION BY TEACHER

If the pages are insufficient the candidate may add additional photocopied sheet

(31)
 FORMATIVE EVALUATIONS FOR MODULE 12

Sr. DESCRIPTION SCORE 1ST SCORE 2ND SCORE 3RD

NO ATTEMPT ATTEMPT ATTEMPT
1.
THEORETICAL KNOWLEDGE 40%
Cognitive domain
C.1- Knowledge Recall
C.2- Interpretation knowledge
C.3- Problem solving knowledge
2.
PRACTICAL SKILLS 40%
Psychomotor domain
P.I Observe
P.II Assist
P.III Do under supervision
P.IV Do independently
3.
LOG BOOK AND BEHAVIOUR 20%
1. Attendance;
2. Log book;
3. Attitudes;
4.
TOTAL SCORE
5.
DATE
6.
NAME AND SIGNATURE OF TEACHER

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CONSOLIDATION SHEET
DATES (FROM _________ TO _____________)
OPERATIONS/PROCEDURES COMPETENCYLEVEL TOTAL

If the pages are insufficient the candidate may add additional photocopied sheet

Remarks by
Supervisor/
Consultant;_______________________________________________________________________________________________
_____________________________________________________________________________________________

Signature with seal;____________________________________________________

Date;______________________________________________________________

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 Basic Skills and Performance

Question No. Guidelines to Assess the Competence

1. Interview Skills

 Introduction
 Respect for patient/research/clinical ethics
2. Laboratory/Clinical Working

 Precautionary measures in a lab

 Safe handling of specimens
 Exposure to all instruments
 Application of most appropriate clinical/experimental methods systematically
3. Interpretation & Discussion Skills of

 Logical interpretation of clinical tests/experiments

 Ability to perform relevant investigations
 Ability to discuss differential diagnosis leading to probable diagnosis
 Ability to recommend the further investigation to reach the final diagnosis
 Knowledge of recent advances and controversies relevant to the investigations
4. Presentation & Discussion Skills

 Logical interpretation of clinical/experimental findings

 Ability to recommend appropriate Management Plan

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 Subject Specific Skills and Performance

Question No. Theoretical Practical

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

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 13.

14.

15.
16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

If the pages are insufficient additional sheets may be added

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 LAB INSTRUMENTS

QUESTION NO LAB. INSTRUMENTS

1. Identify the different lab instruments.
2. Give the basic principles and indications for their use in the lab.
3. Give common problems in using these instruments.
4. What measures will you take to rectify these problems.
5. How will you maintain the quality control in instrumentation.

ORAL EXAMINATION AND TABLE VIVA

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 DEPARTMENT EVALUATION
KING EDWARD UNIVERSITY AND MAYO HOSPITAL LAHORE, PAKISTAN
M.Phil PROGRAMS IN BASIC BIOMEDICAL HEALTH SCIENCES

1. NAME_________________________ 3. Date Of First Joining________________

2. Team_________________________ 4. Title of Program: M. Phil______________

RANKING SCALE: Please Appropriate Circle

Description Not Low Low Upper Upper
Obs Middle Middle
123 456 789 10 11 12
1. Subject Knowledge 0 000 000 000 000
2. Knowledge of Basic Sciences 0 000 000 000 000
3. Ability to gather clinical/ 0 000 000 000 000
experimental Information
4. Ability to use information to solve 0 000 000 000 000
problems
5. Logical Judgment 0 000 000 000 000
6. Laboratory Skills. 0 000 000 000 000
7. Relating effectively to College & 0 000 000 000 000
other Medical Personnel
8. Demonstrating the moral and 0 000 000 000 000
Ethical Standard
9. Overall Competence of the 0 000 000 000 000
subject
Total Score

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 Name & Signatures Comments
Team SR (Name)---------------------------
Signatures------------------------------------
Team Consultant (Name)------------------
Signatures---------------------------
Research (Name) Co-Supervisor
----------------------------------------
Signatures---------------------------

Prof. of Pathology
Signatures-------------------------

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 SELF-ASSESSMENT BY TRAINEE

RANKING SCALE: Please / Appropriate Circle

Description Not Low Low Upper Upper
Obs Middle Middle
1 2 3 456 789 10 11 12
10. Subject Knowledge 0 0 0 0 000 000 000
11. Knowledge of Basic Sciences 0 0 0 0 000 000 000
12. Ability to gather clinical/ 0 0 0 0 000 000 000
experimental Information
13. Ability to use information to solve 0 000 000 000 000
problems
14. Logical Judgment 0 000 000 000 000
15. Laboratory Skills. 0 000 000 000 000
16. Relating effectively to College & 0 000 000 000 000
other Medical Personnel
17. Demonstrating the moral and 0 000 000 000 000
Ethical Standard
18. Overall Competence of the 0 000 000 000 000
subject
Total Score

Journal Club
Attended Dates

Title of Paper
Presented

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 Weekly Date Mark Date Marks Date Marks Date Marks
Tests

Performance Report:

Sr.No Month Total

Description 1 2 3
1 NO.of tests performed in
Haematology
2 No of tests performed in
Chemical Pathloogy
3 No. of tests performed in
Microbiology
4 No of Fine needle
aspirations and bone
marrow performed.
5 No of hours spent in
learning special
techniques:
6 No of Lectures delivered MBBS / BDS Bsc(Physio) PG’s

Nature of explanations called during the period;___________________________________________________________

No of leaves availed during month 1________2.___________3.__________________4.___________5.________6._____
No of absents 1________2.___________3.__________________4.___________5.________6._____
Name of resident_____________________________________________Signature_____________________________
Checked by SR-PG Record;Name________________________________Signature_____________________________

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(42)
B. RECORD

SNO DATE WRITTEN LONG CASE SHORT OSCE TOTAL

MARKS CASE PATHOLOGY SURGICAL ORAL XRAYS
ITEMS VIVA

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 GUIDED SELF LEARNING

S NO LIST OF DATE AND GOALS GIVEN TO THE STUDENT DATE AND ACHIEVEMENTS BY THE STUDENT

If the pages are insufficient the candidate may add additional photocopied sheet

(44)
 SUMMATIVE EVALUATION
1st ATTEMPT
MODULE ATTENDANCE EARNED MARKS GRADE GRADE GRADE SIGNATURE
NO % CREDITS ACHIEVED LEVEL POINT QUALITY OF
POINT(Grade MODULE
Point X INCHARGE
Earned
credits)
1
2
3
4
5
6
TOTAL

FINAL RESULT
1. Average Attendance % =
2. Average Earned Credits =
3. GPA (Sum of GQP/Sum of Earned Credits =
NAME OF PROGRAM DIRECTOR;________________________________________

SIGNATURE OF PROGRAM DIRECTOR;___________________________________

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 SUMMATIVE EVALUATION
2nd ATTEMPT
MODULE ATTENDANCE EARNED MARKS GRADE GRADE GRADE SIGNATURE
NO % CREDITS ACHIEVED LEVEL POINT QUALITY OF
POINT(Grade MODULE
Point X INCHARGE
Grade Point)
1
2
3
4
5
6
TOTAL

FINAL RESULT
1. Average Attendance % =
2. Average Earned Credits =
3. GPA (Sum of GQP/Sum of Earned Credits =
NAME OF PROGRAM DIRECTOR;________________________________________

SIGNATURE OF PROGRAM DIRECTOR;___________________________________

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 SUMMATIVE EVALUATION
3rd ATTEMPT
MODULE ATTENDANCE EARNED MARKS GRADE GRADE GRADE SIGNATURE
NO % CREDITS ACHIEVED LEVEL POINT QUALITY OF
POINT(Grade MODULE
Point X INCHARGE
Grade Point)
1
2
3
4
5
6
TOTAL

FINAL RESULT
1. Average Attendance % =
2. Average Earned Credits =
3. GPA (Sum of GQP/Sum of Earned Credits =
NAME OF PROGRAM DIRECTOR;________________________________________

SIGNATURE OF PROGRAM DIRECTOR;___________________________________

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