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Thesis Digitization Permission Form

1) Corrine Ivy S. Callada gives Cavite State University Library permission to digitize, reproduce, and distribute her undergraduate thesis entitled "Perception on the Use of High-Fidelity Human Patient Simulators in Skills Laboratory Among Faculty and Students of the College of Nursing, Cavite State University." 2) The permission is given on June 7, 2022 for the purpose of the thesis being used strictly for educational purposes. 3) The library staff receives and processes the certification, assigning it a certificate number, accession number, and call number.

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Ivy Callada
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49 views1 page

Thesis Digitization Permission Form

1) Corrine Ivy S. Callada gives Cavite State University Library permission to digitize, reproduce, and distribute her undergraduate thesis entitled "Perception on the Use of High-Fidelity Human Patient Simulators in Skills Laboratory Among Faculty and Students of the College of Nursing, Cavite State University." 2) The permission is given on June 7, 2022 for the purpose of the thesis being used strictly for educational purposes. 3) The library staff receives and processes the certification, assigning it a certificate number, accession number, and call number.

Uploaded by

Ivy Callada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ULIB-QF-01

Republic of the Philippines


CAVITE STATE UNIVERSITY
Don Severino delas Alas Campus
Indang, Cavite

CERTIFICATION

I, ____CORRINE IVY S. CALLADA______________ , hereby give permission


(name)
to Cavite State University- Main Campus LIBRARY the right to digitize (electronic/computer
readable format), reproduce and distribute or share my _undergraduate thesis_
(type of manuscript)
entitled ‘’PERCEPTION ON THE USE OF HIGH-FIDELITY HUMAN PATIENT SIMULATORS
IN SKILLS LABORATORY AMONG FACULTY
AND STUDENTS OF THE COLLEGE OF NURSING, CAVITE STATE UNIVERSITY’’
(title of manuscript)
for the specified reason that it will be used strictly for educational purposes only.

Given this _7th__ day of __June________ , __2022_____.


(date) (month) (year)

_____CORRINE IVY S. CALLADA_____


(Signature over Printed Name)

---------------------------------------------------------------------------------------------------------------------------
(To be filled-up by the Library Staff)

Certificate No.: __________________________________

Please select one: __solo author __2 authors __3 authors other:________

Received by: ____________________________________


(Name and Signature)

Date:__________________________________________

Accession No.: __________________________________

Call No.: _______________________________________

vxx-yy-mm-dd

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