Date Issued: _____________________________

Date of Expiry: Faculty/Adviser’s Name & Signature

ELENA Y. LUA MARILOU S. BASA, M.S. Pharm.

_______________________________ Dean’s Name & Signature
Name & Signature of the Manager/ Director

Name of Intern: ARNAIZ, AIRA FRANCES KYLE

Name of Pharmaceutical Establishment: International Pharmaceuticals Incorporated
For the Month of: JULY Year: 2018

Date
A.M. P.M. Number of
Arrival Departure Arrival Departure Hours Minutes
Name of Intern: ARNAIZ, AIRA FRANCES KYLE
1 Name of Pharmaceutical Establishment: International Pharmaceuticals Incorporated
2 For the Month of: AUGUST Year: 2018
A.M. P.M. Number of
3 Date
Arrival Departure Arrival Departure Hours Minutes
4 1
5 2
6 3 8:00 12:00 1:00 5:00 8
7 4
8 5
9 6
10 7 8:00 12:00 1:00 5:00 8
11 8
12 9
13 10 8:00 12:00 1:00 5:00 8
14 11
15 12
16 13
17 8:00 12:00 1:00 5:00 8 14 8:00 12:00 1:00 5:00 8
18 15
19 16
20 8:00 12:00 1:00 5:00 8 17 8:00 12:00 1:00 5:00 8
21 18
22 19
23 20
24 8:00 12:00 1:00 5:00 8 21 8:00 12:00 1:00 5:00 8
25 22
26 23
27 8:00 12:00 1:00 5:00 8 24
28 25 8:00 12:00 1:00 5:00 8
29 26
30 27
31 8:00 12:00 1:00 5:00 8 28 8:00 12:00 1:00 5:00 8
29
Total: _​40 ​_ 30
31 8:00 12:00 1:00 5:00 8
_________________________
____________________ Intern’s Signature
Name & Signature of Pharmacists-in-Charge
Prof. Tax No. (PTR):
Total: _​72 ​_
Date Issued: Noted by:
Reg. No. (License): ADELLE RAE C. CAÑA _________________________
 Intern’s Signature
____________________
Name & Signature of Pharmacists-in-Charge
Prof. Tax No. (PTR):
Total: _​64 _
Date Issued: Noted by:
Reg. No. (License): ADELLE RAE C. CAÑA _________________________
Date Issued: _____________________________
____________________ Intern’s Signature
Name & Signature of Pharmacists-in-Charge
Date of Expiry: Faculty/Adviser’s Name & Signature
Prof. Tax No. (PTR):
Date Issued: Noted by:

ELENA Y. LUA Reg. No. (License): ADELLE RAE C. CAÑA

_______________________________ MARILOU S. BASA, M.S. Pharm. Date Issued: _____________________________
Name & Signature of the Manager/ Director Dean’s Name & Signature Date of Expiry: Faculty/Adviser’s Name & Signature

ELENA Y. LUA
_______________________________ MARILOU S. BASA, M.S. Pharm.
Name & Signature of the Manager/ Director Dean’s Name & Signature

Name of Intern: ​ ​ ARNAIZ, AIRA FRANCES KYLE

Name of Pharmaceutical Establishment:​ ​ International Pharmaceuticals Incorporated
For the Month of: SEPTEMBER Year: 2018

Date
A.M. P.M. Number of
Arrival Departure Arrival Departure Hours Minutes Name of Intern: ​ ​ ARNAIZ, AIRA FRANCES KYLE
Name of Pharmaceutical Establishment: International Pharmaceuticals Incorporated
1 For the Month of: OCTOBER Year: 2018
2 Date
A.M. P.M. Number of
3 Arrival Departure Arrival Departure Hours Minutes
1
4 8:00 12:00 1:00 5:00 8
2 8:00 12:00 1:00 5:00 8
5
3
6
7 4
8:00 12:00 1:00 5:00 8
8 5 8:00 12:00 1:00 5:00 8
9 6
10 7
11 8
8:00 12:00 1:00 5:00 8
12 9 8:00 12:00 1:00 5:00 8
13 10
14 11
8:00 12:00 1:00 5:00 8
15 12 8:00 12:00 1:00 5:00 8
16 13
17 14
18 15
8:00 12:00 1:00 5:00 8
19 16 8:00 12:00 1:00 5:00 8
20 17
21 18
8:00 12:00 1:00 5:00 8
22 19 8:00 12:00 1:00 5:00 8
23 20
24 21
25 22 8:00 12:00 1:00 5:00 8
8:00 12:00 1:00 5:00 8
26 23 8:00 12:00 1:00 5:00 8
27 24 8:00 12:00 1:00 5:00 8
28 25 8:00 12:00 1:00 5:00 8
8:00 12:00 1:00 5:00 8
29 26 8:00 12:00 1:00 5:00 8
30 27
31 28
29 8:00 12:00 1:00 5:00 8
30 8:00 12:00 1:00 5:00 8 27 8:00 12:00 4
31 28
29 8:00 12:00 4
Total: ​__104__ 30
31
____________________ _________________________
Name & Signature of Pharmacists-in-Charge Intern’s Signature
Total: ​__56_
Prof. Tax No. (PTR):
Date Issued: Noted by:
Reg. No. (License):
Date Issued:
ADELLE RAE C. CAÑA ____________________ _________________________
_____________________________ Name & Signature of Pharmacists-in-Charge Intern’s Signature
Date of Expiry: Faculty/Adviser’s Name & Signature
Prof. Tax No. (PTR):
Date Issued: Noted by:
Reg. No. (License): ADELLE RAE C. CAÑA
ELENA Y. LUA
Date Issued: _____________________________
_______________________________ MARILOU S. BASA, M.S. Pharm.
Faculty/Adviser’s Name & Signature
Name & Signature of the Manager/ Director Dean’s Name & Signature Date of Expiry:

ELENA Y. LUA

_______________________________ MARILOU S. BASA, M.S. Pharm.

Name & Signature of the Manager/ Director Dean’s Name & Signature

Name of Intern: ARNAIZ, AIRA FRANCES KYLE

Name of Pharmaceutical Establishment: International Pharmaceuticals Incorporated
For the Month of: NOVEMBER Year: 2018

Date
A.M. P.M. Number of
Arrival Departure Arrival Departure Hours Minutes
1 Name of Intern: ​ ​ ARNAIZ, AIRA FRANCES KYLE
Name of Pharmaceutical Establishment:​ ​ International Pharmaceuticals Incorporated
2 For the Month of: DECEMBER Year: 2018
3 Date
A.M. P.M. Number of
Arrival Departure Arrival Departure Hours Minutes
4
1
5
2
6 8:00 12:00 4 3
7
4 8:00 12:00 4
8 8:00 12:00 4 5
9 8:00 12:00 1:00 5:00 8 6 8:00 12:00 4
10
7 8:00 12:00 1:00 5:00 8
11
8
12
9
13 8:00 12:00 4 10
14
11 8:00 12:00 1:00 5:00 8
15 8:00 12:00 4 12
16 8:00 12:00 1:00 5:00 8 13
17
14
18
15
19
16
20 8:00 12:00 4 17
21
18
22 8:00 12:00 4 19
23 8:00 12:00 1:00 5:00 8 20
24
21
25
22
26
23
24
25
26
27
28
29
30
31

Total: _​24 _

_________________________
____________________ Intern’s Signature
Name & Signature of Pharmacists-in-Charge
Prof. Tax No. (PTR):
Date Issued: Noted by:
Reg. No. (License): ADELLE RAE C. CAÑA
Date Issued: _____________________________
Date of Expiry: Faculty/Adviser’s Name & Signature

ELENA Y. LUA
_______________________________ MARILOU S. BASA, M.S. Pharm.
Name & Signature of the Manager/ Director Dean’s Name & Signature