Você está na página 1de 1

University of Santo Tomas

Faculty of Pharmacy
PHARMACY INTERNSHIP PROGRAM
APPLICATION FOR RECOMMENDATION LETTER
(MINORSHIP)
NAME: ________________________________________________________________
YEAR & SECTION:__________________________ SCHOOL YEAR: ______________
[ ] COMMUNITY

[ ] HOSPITAL

[ ] REGULATORY

[ ] VETERINARY

[ ] MANUFACTURING LAB

[ 1 ] [ 2 ] [ 3 ] APPLICATION
CONTACT PERSON:

___________________________________________________________

DESIGNATION:

___________________________________________________________

COMPANY NAME:

___________________________________________________________

ADDRESS:

___________________________________________________________
___________________________________________________________
___________________________________________________________

CONTACT NUMBER:

___________________________________________________________

E-MAIL ADDRESS:

___________________________________________________________

Approved by:

________________________________________
PHARMACY INTERNSHIP AREA COORDINATOR

Você também pode gostar