Saint Louis University

School of Nursing

Commented [c1]: Print 1 copy only, colored

Certification of Undertaking

This is to certify that MR. JAMES CZAR FONTANILLA ILAGAN, graduated with the Commented [c2]: Mr. for males
degree Bachelor of Science in Nursing (BSN) at SAINT LOUIS UNIVERSITY on MAY, 2019 with Commented [c3]: Check the date of graduation found in your
transcript of records
ROG No. 4-018 Series 2019 dated JUNE 7, 2019. Further, Mr. ILAGAN:
Commented [c4]: Check ROG No. from your transcript of
records
1. Has successfully completed all the competency requirements and number of cases as stipulated
Commented [c5]: Check the date of ROG No. found in your
under the Philippine Nursing Curriculum pursuant to CMO No. 14, S.2009; transcript of records

2. That copies of such competency requirements are on file with the office of the School of
Nursing; and,

3. That under pain of legal sanction, we attest to the completion of such competency
requirements.

WHEREFORE, premises considered, we have hereunto set our hands this 30th day of
September 2019 in Baguio City, Philippines.

MARY GRACE C. LACANARIA, RN, PhD CARMEN D. SIA

Dean Registrar
PRC No. 0126255 valid until 11/10/2020 SSS ID No. 01-0457552-5
Lifetime PNA No. 9860 SLU ID No. AE 0886
ADPCN No. 275 valid until 12/31/19

Republic of the Philippines )

In the City of Baguio . . . . . ) ss
x---------------------------------x Commented [c6]: go to a notary public/ lawyer for notarization
after obtaining the above signatures

SUBSCRIBED AND SWORN to before me on the date and place first above written, the
identities of the affiants having been duly established.