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Click ‘Get Form’ to open the odorbn in the editor.
Begin with Section A: INTERN’S PERSONAL DATA. Fill in your date, name, institution(s) qualified from along with dates and qualifications obtained. Ensure accuracy for registration purposes.
Proceed to Section B: NAME AND ADDRESS OF THE ESTABLISHMENT OFFERING INTERNSHIP. Enter the establishment's details and list the eye care services rendered.
In Section C: PERFORMANCE REPORT, document the internship commencement date and expected completion date. Evaluate your presence, punctuality, decorum, activity level, case reports, quality of reports, and number of patients seen using the provided criteria.
Complete Section D: INTERN’S COMMENTS by detailing professional activities engaged in, salary information, grievances if any, and other relevant comments.
Finally, fill out Section E: CONCLUSION AND RECOMMENDATION by scoring your performance based on the criteria provided and obtaining your supervisor's signature.
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