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Republic of the Philippines

Region X
Province of Bukidnon
BUKIDNON PROVINCIAL HOSPITAL
San Miguel, Manolo Fortich, Bukidnon

CERTIFICATE OF APPEARANCE
THIS IS TO CERTIFY THAT ___________________________________________ of
________________________________appeared in this office on ________________________
on an official business.

Report to Purpose:
Attend/Assist: ___________________________________
Submit Report: __________________________________
Do Instructional Visit: ____________________________
Confer with: ____________________________________
Others: ________________________________________

_________________________________-
Authorized Representative

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