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San Pedro College BSN 3 Orientation Form

The document is a confirmation form for a student nurse attending a virtual clinical orientation. It includes the student's name, address, contact details, and signatures agreeing to abide by the clinical policies and rules.

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allkhusairy6tuansi
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49 views1 page

San Pedro College BSN 3 Orientation Form

The document is a confirmation form for a student nurse attending a virtual clinical orientation. It includes the student's name, address, contact details, and signatures agreeing to abide by the clinical policies and rules.

Uploaded by

allkhusairy6tuansi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SAN PEDRO COLLEGE

SCHOOL OF NURSING

BSN 3 CLINICAL POLICIES/GUIDELINES ORIENTATION


CONFIRMATION FORM

NAME : Al-Khusairy A. Tuansi

YEAR & SECTION BSN-3B

HOME ADDRESS : Birsaba Street, Buhangin, Davao City, Davao del sur

TEL. NO./ MOBILE NO. : 09150266910

FATHER’S NAME : Bajury B. Tuansi

MOTHER’S NAME : Arbaina A. Tuansi

GUARDIAN’S NAME : Arbaina A. Tuansi

I attended the virtual clinical orientation and understood all the contents
of the clinical orientation for the BSN Related Learning Experiences.

I pledge to the management of the Nursing Department of San Pedro


College that I shall abide by the policies, rules, and regulations pertinent to
the academic, non-academic, and clinical requirements.

Al-Khusairy Tuansi
Student Nurse Printed Name & Signature

Parent’s/Guardian’s Name & Signature

August 15, 2022


Date Signed
**please send a screenshot of the parent/guardian’s ID showing the signature above

PASTE HERE screenshot of Parent’s/Guardian’s ID:

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