CU-QMS-NURSING-0019

Capitol University
College of Nursing
Cagayan de Oro City

Date: _______________________

TO WHOM IT MAY CONCERN:

This is to certify that Ms./Mr. ____________________________has satisfactorily

complied with all requirements and settled all obligations with _________________________
from ____________________ to __________________ and is granted a clearance.

____________________________ ________________________
Nurse on Duty Clinical Instructor

Issue: 05 April 2003 Revision Code: 003

CU-QMS-NURSING-0020

Capitol University
College of Nursing
Cagayan de Oro City

Date: _______________________

TO WHOM IT MAY CONCERN:

This is to certify that Ms./Mr. ____________________________has satisfactorily

complied with all requirements and settled all obligations with _________________________
from ____________________ to __________________ and is granted a clearance.

____________________________ ________________________
Nurse on Duty Clinical Instructor

Issue: 05 April 2003 Revision Code: 003

CU-QMS-NURSING-0020

Capitol University
College of Nursing
Cagayan de Oro City

Date: _______________________

TO WHOM IT MAY CONCERN:

This is to certify that Ms./Mr. ____________________________has satisfactorily

complied with all requirements and settled all obligations with _________________________
from ____________________ to __________________ and is granted a clearance.

____________________________ ________________________
Nurse on Duty Clinical Instructor

Issue: 05 April 2006 Revision

Code: 003