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  • Post Examination Health Surveillance Form: Annex "C"

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    Marilyn Jabonero
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    This 3 sentence summary provides the key details from the document: The document is a post examination health surveillance form that instructs examinees to send an email to the Regional Office 15 days after their licensure exam to report their truthful health status, including any symptoms like fever, cough, or easy fatigability. The form provides spaces for the examinee Marilyn Palanas Jabonero to fill in details of her exam like the testing venue in Tacloban City, room number, and seat number and to check any relevant health symptoms or report that she has no symptoms as of July 11, 2022. Upon completing the message, the examinee will receive an acknowledgment or further instructions from the PRC.

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    This 3 sentence summary provides the key details from the document: The document is a post examination health surveillance form that instructs examinees to send an email to the Regional Office 15 days after their licensure exam to report their truthful health status, including any symptoms like fever, cough, or easy fatigability. The form provides spaces for the examinee Marilyn Palanas Jabonero to fill in details of her exam like the testing venue in Tacloban City, room number, and seat number and to check any relevant health symptoms or report that she has no symptoms as of July 11, 2022. Upon completing the message, the examinee will receive an acknowledgment or further instructions from the PRC.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    7 views1 page

    Post Examination Health Surveillance Form: Annex "C"

    Uploaded by

    Marilyn Jabonero
    This 3 sentence summary provides the key details from the document: The document is a post examination health surveillance form that instructs examinees to send an email to the Regional Office 15 days after their licensure exam to report their truthful health status, including any symptoms like fever, cough, or easy fatigability. The form provides spaces for the examinee Marilyn Palanas Jabonero to fill in details of her exam like the testing venue in Tacloban City, room number, and seat number and to check any relevant health symptoms or report that she has no symptoms as of July 11, 2022. Upon completing the message, the examinee will receive an acknowledgment or further instructions from the PRC.

    Copyright:

    © All Rights Reserved
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    Annex “C”

    Post Examination Health Surveillance Form

    Instructions: Please continue to follow social distancing and the wearing of face mask
    even after the exam. You are required to send an email at theofficial email address of the
    Regional Office where you take your licensure examination15 days after the last
    examination date. Please provide truthful information relative to your health status.

    Dear PRC,

    Good day! I PROFFESSIONAL TEACHERS took the licensure examination last JUNE
    (profession)

    30, 2022.
    I would like to inform you of my health status as of .JULY 11, 2022.
    (date)

    Name:MARILYN PALANAS JABONERO


    Testing Venue: TACLOBAN CITY
    Room No: 14
    Seat No: 10

    My health status is:(Please check () all relevant items)


    ___ have no symptom/s.
    ___ am with the following symptom/s:
    ___ fever
    ___ cough
    ___ easy fatigability
    ___ other signs/ symptoms or remarks: ___________

    After completing the message, you will receive an acknowledgment and/or further
    instructions from PRC.

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