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University of Santo Tomas

Faculty of Pharmacy
PHARMACY INTERNSHIP PROGRAM
APPLICATION FOR RECOMMENDATION LETTER
(MAJORSHIP)
NAME: ________________________________________________________________
YEAR & SECTION:__________________________ SCHOOL YEAR: ______________
MINORSHIP:
[ ] COMMUNITY

[ ] HOSPITAL

[ ] REGULATORY

[ ] VETERINARY

START ON: ________________________________

[ ] MANUFACTURING LAB

END ON: ________________________________


[ 1 ] [ 2 ] [ 3 ] APPLICATION

CONTACT PERSON:

___________________________________________________________

DESIGNATION:

___________________________________________________________

COMPANY NAME:

___________________________________________________________

ADDRESS:

___________________________________________________________
___________________________________________________________
___________________________________________________________

CONTACT NUMBER:

___________________________________________________________

E-MAIL ADDRESS:

___________________________________________________________

Approved by:

________________________________________
PHARMACY INTERNSHIP AREA COORDINATOR

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