A Parastatal of the Federal Ministry of Health: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section A, which includes the House Officer’s particulars. Ensure you type your full names, permanent home address, email/phone number, medical school attended, period of attendance, qualification obtained, registration number, and training hospital name in capital letters.
Proceed to Section B for the Supervising Consultant's input. Fill in the department of posting and the period of posting with accurate dates.
In Section C, evaluate performance using the provided rating scale. Rate each parameter based on your observations during the internship.
Complete Section D with general comments about the intern's performance and whether they are fit for registration.
Finally, fill out Section E with details of the supervising consultant and ensure all signatures are included before submission.

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