Granted Full Autonomy by CHED

Granted Level IV Accreditation by PAASCU in 6

Programs: Accountancy, Business Administration,
Civil Engineering, Teacher Education (Elementary
and Secondary) and Liberal Arts
SCHOOL OF HEALTH SCIENCES

DAILY TIME RECORD

NAME:_____________________________________________________________________________
CABAUATAN, JOHN HARVIE
For the MonthOCTOBER,
ABUZO 2015
of: ________________________________________ No. of Hours:
360
_____________ CAGAYAN VALLEY MEDICAL
Name of
CARIG TUGUEGARAO CITY,
Establishment:_______________________________________________________________
Address of Establishment:
_____________________________________________________________

/
___Community Pharmacy ____Hospital Pharmacy
___Manufacturing Pharmacy

DAYS AM PM HOURS
IN OUT IN OUT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19 8:00 12:00 1:00 5:00 8
20 8:00 12:00 1:00 5:00 8
21 8:00 12:00 1:00 5:00 8
22 8:00 12:00 1:00 5:00 8
23 8:00 12:00 1:00 5:00 8
24
25
26 8:00 12:00 1:00 5:00 8
27 8:00 12:00 1:00 5:00 8
28 8:00 12:00 1:00 5:00 8
29 8:00 12:00 1:00 5:00 8
30 8:00 12:00 1:00 5:00 8
31

80
Total Number of Hours:
___________
Certified by:
JOHN HARVIE A.
CABAUATAN
Interns Signature over
Amelia
Printed NameB. Tang, RPh
Owner/ Manager of Firm

, RPh
Signature over Printed Name

Mabini Street, Tuguegarao City 3500, Cagayan, Philippines Telephone: 078 844
1872/844 1873 Fax: 078 844 0889
w w w. u s l . e d u . p h
 Granted Full Autonomy by CHED
Granted Level IV Accreditation by PAASCU in 6
Programs: Accountancy, Business Administration,
Civil Engineering, Teacher Education (Elementary
and Secondary) and Liberal Arts
SCHOOL OF HEALTH SCIENCES

Pharmacist -in- Charge

PRC License No: 0038950
Date of Issue: October 18, 1997
Noted by: Prof Tax No (PTR): .....
Date of Issue: .....
________________________________
DR. DINDO V. ASUNCION
Academic Dean

DAILY TIME RECORD

NAME:_____________________________________________________________________________
CABAUATAN, JOHN HARVIE
For the MonthDECEMBER,
ABUZO 2015
of: ________________________________________ No. of Hours:
360
_____________ CAGAYAN VALLEY MEDICAL
Name of
CARIG TUGUEGARAO CITY,
Establishment:_______________________________________________________________
Address of Establishment:
_____________________________________________________________

/
___Community Pharmacy ____Hospital Pharmacy
___Manufacturing Pharmacy

DAYS AM PM HOURS
IN OUT IN OUT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18 8:00 12:00 1:00 5:00 8
19
20
21 8:00 12:00 1:00 5:00 8
22 8:00 12:00 1:00 5:00 8
23 8:00 12:00 1:00 5:00 8
24 8:00 12:00 1:00 5:00 8
25
26
27
28 8:00 12:00 1:00 5:00 8
29 8:00 12:00 1:00 5:00 8
30
31

56
Total Number of Hours:
_________

Mabini Street, Tuguegarao City 3500, Cagayan, Philippines Telephone: 078 844
1872/844 1873 Fax: 078 844 0889
w w w. u s l . e d u . p h
 Granted Full Autonomy by CHED
Granted Level IV Accreditation by PAASCU in 6
Programs: Accountancy, Business Administration,
Civil Engineering, Teacher Education (Elementary
and Secondary) and Liberal Arts
SCHOOL OF HEALTH SCIENCES

JOHN HARVIE A.
CABAUATAN
Interns Signature over
Printed Name

, RPh
Signature over Printed Name

Pharmacist -in- Charge

PRC License No: 0038950
Date of Issue: October 18, 1997
Noted by: Prof Tax No (PTR): .....
Date of Issue: .....
________________________________
DR. DINDO V. ASUNCION
Academic Dean

DAILY TIME RECORD

NAME:_____________________________________________________________________________
CABAUATAN, JOHN HARVIE
For the MonthMARCH,
ABUZO 2016
of: ________________________________________ No. of Hours:
360
_____________ CAGAYAN VALLEY MEDICAL
Name of
CARIG TUGUEGARAO CITY,
Establishment:_______________________________________________________________
Address of Establishment:
_____________________________________________________________

/
___Community Pharmacy ____Hospital Pharmacy
___Manufacturing Pharmacy

DAYS AM PM HOURS
IN OUT IN OUT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21 8:00 12:00 1:00 5:00 8
22 8:00 12:00 1:00 5:00 8
23 8:00 12:00 1:00 5:00 8
24

Mabini Street, Tuguegarao City 3500, Cagayan, Philippines Telephone: 078 844
1872/844 1873 Fax: 078 844 0889
w w w. u s l . e d u . p h
 Granted Full Autonomy by CHED
Granted Level IV Accreditation by PAASCU in 6
Programs: Accountancy, Business Administration,
Civil Engineering, Teacher Education (Elementary
and Secondary) and Liberal Arts
SCHOOL OF HEALTH SCIENCES

25
26
27
28 8:00 12:00 1:00 5:00 8
29 8:00 12:00 1:00 5:00 8
30 8:00 12:00 1:00 5:00 8
31 8:00 12:00 1:00 5:00 8

56
Total Number of Hours:
__________

JOHN HARVIE A.
CABAUATAN
Interns Signature over
Printed Name

, RPh
Signature over Printed Name

Pharmacist -in- Charge

PRC License No: 0038950
Date of Issue: October 18, 1997
Noted by: Prof Tax No (PTR): .....
Date of Issue: .....
________________________________
DR. DINDO V. ASUNCION
Academic Dean

DAILY TIME RECORD

NAME:_____________________________________________________________________________
CABAUATAN, JOHN HARVIE
For the MonthAPRIL,
ABUZO 2016
of: ________________________________________ No. of Hours:
360
_____________ CAGAYAN VALLEY MEDICAL
Name of
CARIG TUGUEGARAO CITY,
Establishment:_______________________________________________________________
Address of Establishment:
_____________________________________________________________

/
___Community Pharmacy ____Hospital Pharmacy
___Manufacturing Pharmacy

DAYS AM PM HOURS
IN OUT IN OUT
1 8:00 12:00 1:00 5:00 8
2
3
4 8:00 12:00 1:00 5:00 8
5 8:00 12:00 1:00 5:00 8
6 8:00 12:00 1:00 5:00 8
7 8:00 12:00 1:00 5:00 8
8 8:00 12:00 1:00 5:00 8
9
10
11 8:00 12:00 1:00 5:00 8
12 8:00 12:00 1:00 5:00 8
13 8:00 12:00 1:00 5:00 8
14 8:00 12:00 1:00 5:00 8
Mabini Street, Tuguegarao City 3500, Cagayan, Philippines Telephone: 078 844
1872/844 1873 Fax: 078 844 0889
w w w. u s l . e d u . p h
 Granted Full Autonomy by CHED
Granted Level IV Accreditation by PAASCU in 6
Programs: Accountancy, Business Administration,
Civil Engineering, Teacher Education (Elementary
and Secondary) and Liberal Arts
SCHOOL OF HEALTH SCIENCES

15 8:00 12:00 1:00 5:00 8

16
17
18 8:00 12:00 1:00 5:00 8
19 8:00 12:00 1:00 5:00 8
20 8:00 12:00 1:00 5:00 8
21 8:00 12:00 1:00 5:00 8
22 8:00 12:00 1:00 5:00 8
23
24
25 8:00 12:00 1:00 5:00 8
26 8:00 12:00 1:00 5:00 8
27 8:00 12:00 1:00 5:00 8
28 8:00 12:00 1:00 5:00 8
29 8:00 12:00 1:00 5:00 8
30
31

168
Total Number of Hours:
__________

JOHN HARVIE A.
CABAUATAN
Interns Signature over
Printed Name

, RPh
Signature over Printed Name

Pharmacist -in- Charge

PRC License No: 0038950
Date of Issue: October 18, 1997
Noted by: Prof Tax No (PTR): .....
Date of Issue: .....
________________________________
DR. DINDO V. ASUNCION
Academic Dean

Mabini Street, Tuguegarao City 3500, Cagayan, Philippines Telephone: 078 844
1872/844 1873 Fax: 078 844 0889
w w w. u s l . e d u . p h