Professional Documents
Culture Documents
Version 2018
The Premiere and Most Respected Medical Review Country in the Country
“Our Culture of Excellence Speaks For Itself”
2 x 2 Recent Photo
General Information
S
Birthdate Birthplace Home Address
MAY 9,1985 BAGUIO CITY 0410 ADIWANG RD. DONTOGAN BAGUIO CITY 2600
Year 20__
FRIENDS
How did you Hear About CDB Review Center? Please Check. You may check more than one option.
[ /] Friends/Relatives/PGIs/Residents/Consultants
[ ] Website/Facebook/Online Posts/Blogs
[ ] Newspapers
[ ] Brochures
[ ] Old CDB Students
Academic Background
Pre Medical Course/Degree School Did You Graduate with Honors/ Special Citations?
Please Specify
NURSING UNIVERSITY OF THE NONE
CORDILLERAS
Doctor of Medicine (MD) Date of Graduation Did You Graduate with Honors/ Special Citations?
School Please Specify
JUNE 2018 NONE
LYCEUM-NORTHWESTERN
UNIVERSITY
Professional Licensure Have You Taken The What Review Center (s) Have you Previously
examinations Taken and Physician Licensure Enrolled in the past?
PASSED Examination (PLE)
before?
Once review application is confirmed, Review Fee shall be NON-REFUNDABLE and NON-
TRANSFERRABLE, regardless of the student’s/reviewee’s reason for cancelling his/her review.
Review Fee shall also be forfeited in favor of Cracking D’ Boards Study and Review Center, Inc. if
the student/reviewee decides to discontinue after the review has started.
Student/Reviewee has read and understood the foregoing terms and conditions.
CDB Representative
NOTE: Please email back completed and Signed Review Form or submit in person at our
designated offices. Attach a recent photo in form.