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    HIV Seminar

    Uploaded by

    Joseph Velarde
    This document contains an attendance sheet for an HIV-AIDS seminar conducted by the Quezon City Health Department. It lists 81 applicants' names in alphabetical order along with their position/job, date of laboratory result, and signature. The sheet is signed by the lecturer and supervisor, and approved by the medical officer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    HIV Seminar

    Uploaded by

    Joseph Velarde
    5K views5 pages
    This document contains an attendance sheet for an HIV-AIDS seminar conducted by the Quezon City Health Department. It lists 81 applicants' names in alphabetical order along with their position/job, date of laboratory result, and signature. The sheet is signed by the lecturer and supervisor, and approved by the medical officer.

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    This document contains an attendance sheet for an HIV-AIDS seminar conducted by the Quezon City Health Department. It lists 81 applicants' names in alphabetical order along with their position/job, date of laboratory result, and signature. The sheet is signed by the lecturer and supervisor, and approved by the medical officer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    5K views5 pages

    HIV Seminar

    Uploaded by

    Joseph Velarde
    This document contains an attendance sheet for an HIV-AIDS seminar conducted by the Quezon City Health Department. It lists 81 applicants' names in alphabetical order along with their position/job, date of laboratory result, and signature. The sheet is signed by the lecturer and supervisor, and approved by the medical officer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    REPUBLIC OF THE PHILIPPINES

    QUEZON CITY HEALTH DEPARTMENT

    HIV-AIDS SEMINAR
    ATTENDANCE SHEET (Form Health Certificate -1)

    Name of Establishment: _______________________________


    Address/Barangay: ____________________________________
    OR #: ______________Date:_________Amount Paid:__________
    Date Conducted: ____________________

    APPLICANTS Position/Job Date of Signature


    (Surname, First Name, IM) Laboratory
    Result
    1. Auguis, Hipolito
    2. Batenga, Joseph R
    3. Cabelin, Lovebella Bless C.
    4. Dimapilis, Marjorie A.
    5. Imperial, Cecilia
    6. Lebeco, Roberto B.
    7. Maceda, Marlon R.
    8. Sta. Maria Katrina
    9. Tingabngab Winston M.
    10. Velarde, Josep Ray M
    11. Zambra, Adeline S.

    Note: Names should be written in Alphabetical Order (Surname, First Name, MI)

    Lecturer: _______________________. Supervisor: ______________________


    (Signature over printed name) (Signature over printed name)

    Approved by: Ramina Asuncion DG Abarquez, MD, MPH


    MEDICAL OFFICER V

    QCG-QCHD-ES-SOI-F45
    REPUBLIC OF THE PHILIPPINES
    QUEZON CITY HEALTH DEPARTMENT

    HIV-AIDS SEMINAR
    ATTENDANCE SHEET (Form Health Certificate -1)

    Name of Establishment: ________________________________


    Address/Barangay: ____________________________________
    OR #: ______________Date:_________Amount Paid:_________
    Date Conducted: ____________________

    APPLICANTS Position/Job Date of Signature


    (Surname, First Name, IM) Laboratory
    Result
    1. Abagat, Ariane L
    2. Abul, Abigael B.
    3. Adante, Lerma M
    4. Adel, Avelina T.
    5. Aldea, Erwinia T
    6. Almirol, Zenaida P
    7. Anchiges, Litzbern Mar B
    8. Avila, John Rafael L.
    9. Bacani, Hazel C.
    10. Baccay, Leticia C.
    11. Balmes, Marietta R.
    12. Batayola, Marissa R.
    13. Batayola, Samantha Joy R.
    14. Bautista, Aurelia M.
    15. Bibat, Roy T
    16. Blancaflor, Roswell Tristan
    17. Bonzon, Madelyn B
    18. Bulalacao, Elisor O.
    19. Cacho, Daneca Ella
    20. Cacho, Danilo M.
    21. Cadaos, Johanna B
    22. Camat, Erlinda L.
    23. Campanano, Mary Grace C
    24. Carbon, Eden B.
    25. Carganilla, Melinda R.
    Note: Names should be written in Alphabetical Order (Surname, First Name, MI)

    Lecturer: _______________________. Supervisor: ______________________


    (Signature over printed name) (Signature over printed name)

    Approved by: Ramina Asuncion DG Abarquez, MD, MPH


    MEDICAL OFFICER V

    QCG-QCHD-ES-SOI-F45
    REPUBLIC OF THE PHILIPPINES
    QUEZON CITY HEALTH DEPARTMENT

    HIV-AIDS SEMINAR
    ATTENDANCE SHEET (Form Health Certificate -1)

    Name of Establishment: _______________________________


    Address/Barangay: ____________________________________
    OR #: ______________Date:_________Amount Paid:__________
    Date Conducted: ____________________

    APPLICANTS Position/Job Date of Signature


    (Surname, First Name, IM) Laboratory
    Result
    26. Casares, Dennis O
    27. Catulin, Jenna Ciara Rose A.
    28. Cortez, Antonio A
    29. Costes, Marilou S
    30. Cuajao , Jerema Laarni M.
    31. Dela Cruz, Marjorie
    32. Dela Vega, Emerson P.
    33. Delgado, Richard Dennis R.
    34. Doro-in, Noel G
    35. Fernandez, Elma C.
    36. Ferrer, Juluis R.
    37. Flores, Arcely S.
    38. Gabanzo, Janica Marthel C.
    39. Gabuat, Harry M.
    40. Galano, Rowena S
    41. Gines, Ernestina C
    42. Guillermo, Abrera O.
    43. Herrera, Maria Corazon C
    44. Lizaran, Catherine P.
    45. Lumabao, Haidee Litz B.
    46. Macadangdang, Lea Mari T.
    47. Macarubbo, Fatima Maureen D.
    48. Magdongon, Evangeline B
    49. Mendoza, Celerina A
    50. Mesia, Irene M.
    Note: Names should be written in Alphabetical Order (Surname, First Name, MI)

    Lecturer: _______________________. Supervisor: ______________________


    (Signature over printed name) (Signature over printed name)

    Approved by: Ramina Asuncion DG Abarquez, MD, MPH


    MEDICAL OFFICER V

    QCG-QCHD-ES-SOI-F45
    REPUBLIC OF THE PHILIPPINES
    QUEZON CITY HEALTH DEPARTMENT

    HIV-AIDS SEMINAR
    ATTENDANCE SHEET (Form Health Certificate -1)

    Name of Establishment: _______________________________


    Address/Barangay: ____________________________________
    OR #: ______________Date:_________Amount Paid:__________
    Date Conducted: ____________________

    APPLICANTS Position/Job Date of Signature


    (Surname, First Name, IM) Laboratory
    Result
    51. Molo, Estela
    52. Moraga, Francis John O
    53. Noble, Irma
    54. Orial, Marc Daryl
    55. Osea, Mark Raymond
    56. Panen, Rosemarie B.
    57. Panen, Samuel B.
    58. Paningbatan, Gloria B.
    59. Panopio,Cynthia M.
    60. Peralta, Kristine C
    61. Pereras, Elvin Edward L.
    62. Perez, Winnie U.
    63. Puma, Ronaldo M.
    64. Quilang, Emmanuel Joey T
    65. Quirol, Editha A.
    66. Rama, Ver Mellord M.
    67. Ramas, Zosima
    68. Rivera, Antonio G.
    69. Romana, Arlene P.
    70. Sandoy, Maria Roceline P.
    71. Santamara, Ma. Christina A.
    72. Saura, Glorife
    73. Sayson, Steveson S.
    74. Sindigan, Joan D.
    75. Sta. Ana, Merlinda M.
    Note: Names should be written in Alphabetical Order (Surname, First Name, MI)

    Lecturer: _______________________. Supervisor: ______________________


    (Signature over printed name) (Signature over printed name)

    Approved by: Ramina Asuncion DG Abarquez, MD, MPH


    MEDICAL OFFICER V

    QCG-QCHD-ES-SOI-F45
    REPUBLIC OF THE PHILIPPINES
    QUEZON CITY HEALTH DEPARTMENT

    HIV-AIDS SEMINAR
    ATTENDANCE SHEET (Form Health Certificate -1)

    Name of Establishment: _______________________________


    Address/Barangay: ____________________________________
    OR #: ______________Date:_________Amount Paid:__________
    Date Conducted: ____________________

    APPLICANTS Position/Job Date of Signature


    (Surname, First Name, IM) Laboratory
    Result
    76. Tapnio, Ma. Gemma
    77. Tingabngab, Winston M.
    78. Tolentino, Lorna B.
    79. Tolentino, Mario L.
    80. Valerio Arlene B.
    81. Villereal, Kathleen Niko B.

    Note: Names should be written in Alphabetical Order (Surname, First Name, MI)

    Lecturer: _______________________. Supervisor: ______________________


    (Signature over printed name) (Signature over printed name)

    Approved by: Ramina Asuncion DG Abarquez, MD, MPH


    MEDICAL OFFICER V

    QCG-QCHD-ES-SOI-F45

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