DIVISION OF NURSING RESEARCH AND DEVELOPMENT

Nursing Services, Philippine General Hospital

University of the Philippines Manila
PHIC Accredited Health Care Provider

Date

TO WHOM IT MAY CONCERN:

In connection with the application of _______________________________________ a

graduate of __________________________________________________ college / university, for the
Nurse entry level position at the Philippine General Hospital, please furnish us the following
information:
1. General Weighted Average;
2. Clinical Experience Grade; and
3. Rank in class.

Thank you.

Respectfully yours,

DOWNLOADED DOCUMENT (sgd) Jossel I. Ebesate, RN

No Signature Needed Nurse VI, Officer-In-Charge

To be filled out by the Registrar or Dean of the College of Nursing and returned to the
Division of Nursing Research and Development, Nursing Services c/o Mr. Jossel I. Ebesate.

Name:
1. General Weighted Average:
2. Clinical Experience Grade: Affix School
Seal Here
3. Rank in Class:

Certified correct by: Certified correct by:

OR

Dean, College of Nursing Registrar, College/University

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