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CONCURRED FOR MAJOR CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Betty Lynn C. Garingo Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR MAJOR CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Betty Lynn C. Garingo Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR MINOR CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Betty Lynn C. Garingo Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR MINOR CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Betty Lynn C. Garingo Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR HANDLED CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Jessica Selloria Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: RN, MAN Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. 0146358 a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: September 25, 2012 Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. 4544 b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR HANDLED CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Jessica Selloria Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: RN, MAN Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. 0146358 a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: September 25, 2012 Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. 4544 b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR ASSISTED CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Jessica Selloria Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: RN, MAN Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. 0146358 a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: September 25, 2012 Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. 4544 b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR ASSISTED CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Jessica Selloria Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: RN, MAN Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. 0146358 a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: September 25, 2012 Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. 4544 b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR CORD CARE CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Jessica Selloria Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: RN, MAN Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. 0146358 a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: September 25, 2012 Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. 4544 b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________
 <
CONCURRED FOR CORD CARE CASES

Supervised by: Noted and Supervised by: Concurred by:

Mrs. Jessica Selloria Mrs. Yvonne Y. Peñan Dr. Geronima Emma A. Amores
Signature over printed name of Faculty, Signature over printed name of Clinical Coordinator, Signature over printed name of OIC - Dean,
University of the Visayas, College of Nursing University of the Visayas, College of Nursing University of the Visayas, College of Nursing

Date Signed: Date Signed: Date Signed:

Degree: RN, MAN Degree: RN, MAN Degree: RN, MAN, DM
a.) PRC No. 0146358 a.) PRC No. 0130427 a.) PRC No. 0074156
Valid until: September 25, 2012 Valid until: November 2, 2012 Valid until: July 2012
b.) PNA No. 4544 b.) PNA No. 4476 b.) PNA No. 16245
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
c.) ADPCN No. 0747
Valid until: May 2010

I declare under oath that these cases had been accomplished by me in good faith, verified by me and to the best of my knowledge and belief is true, correct and complete statement pursuant to the provisions of pertinent laws, rules
and regulations of the Republic of the Philippines.

Subscribed and sworn to me this day of 2008, Cebu City, Philippines.

Ronald G. Villaver
Signature of Applicant

Doc. No. ___________ NOTARY PUBLIC

Page No. __________
Book No.___________
Series of ___________