UNION CHRISTIAN COLLEGE

San Fernando City, La Union

Name of Student: Aguila, Jefferson Gomez
Name and Address of School: UNION CHRISTIAN COLLEGE, Widdoes Street, San Fernando City, 2500, La Union
Accreditation Level (if any): Level II Year Granted: 1999
Date School/Program was Recognized: June 14 Number: 198 Year: 1977
First Course (if any): Not Applicable School graduated from: Not Applicable Year: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2003
Year Graduated (BSN Program): 2007
IV. DELIVERIES ASSISTED
N Case No. Diagnosis Name of Ag Date of Time Gender Name of Type of Delivery Supervised by:
o. Mother e Delivery of of Hospital Name & Signature of
Deliv Baby Qualified Clinical
ery Instructor
1 Home Pregnancy Uterine 39 weeks Age Raquel 27 February 24, 8:30 Female Santiago Sur Health Normal Spontaneous Delivery Charmaine S. Abenes
Delivery of Gestation Cephalic in Labor Dumaguin 2007 AM Center PRC #: 0266421
Gravida 2 Para 1 (G2P1) Palisoc City of San Fernando, PNA #:16309
La Union MAN units: 42 units

2 Home Pregnancy Uterine 40 weeks Age Glory Amin 28 January 28, 8:35 Female Tanqui Health Center Normal Spontaneous Delivery Charmaine S. Abenes
Delivery of Gestation Cephalic in Labor Valdez 2007 AM City of San Fernando, PRC #: 0266421
Gravida 2 Para 1 (G2P1) La Union PNA #:16309
MAN units: 42 units

3 2006- Pregnancy Uterine 38 5/7 weeks Marilyn Bebit 18 December 23, 6:28 Female Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0033083 Age of Gestation Cephalic in Montesa 2006 AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Labor Gravida 1 Para 0 (G1P0) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units

4 2006- Pregnancy Uterine 40 weeks Age Marilou De Luna 25 December 23, 1:46 Male Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0033106 of Gestation Cephalic in Labor 2006 AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 1 Para 0 (G1P0) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units

5 2002- Pregnancy Uterine 38 weeks Age Vilma Flores 31 June 24, 2006 8:55 Female Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0011663 of Gestation Cephalic in Labor AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 2 Para 1 (G2P1) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units
Prepared by:

AGUILA, Jefferson G.
Name of Student

Noted by: Concurred by: Approved by:

NORBERTO G. PREPOSE, JR., RN, MAN FLORDELIZA R. BOBILES, RN, MAN MARITES G. CALUGAN, RN, MAN
CRISTETA E. BAGTANG, RN, MPH, MAN
Signature over printed Name of Clinical Coordinator Signature over printed name of Assistant Chief Nurse Signature over printed name of Chief Nurse Signature over
printed Name of Dean
Date Signed: ________________________ Date Signed: _____________________ Date Signed: ________________________ Date Signed:
_____________________
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN,
RN, MPH, MAN
 a. PRC No.: 0209483 a. PRC NO.: 0114833 a. PRC NO.: 0166707 a. PRC NO.:
125448
Valid Until: April 2, 2009 Valid Until: March 27, 2008 Valid Until: May 16, 2009 Valid Until:
October 24, 2009
b. PNA No.: 16232 b. PNA No.: 17945 b. PNA No.: 14801 b. PNA No.: 3051
Valid Until: December 2007 Valid Until: Lifetime Member Valid Until: Lifetime Member Valid Until:
Lifetime Member
c. ANSAP No: 00077 c. ANSAP No: 01324 c. ANSAP No.: 02252 c. ADPCN No.:
356
Valid Until: Lifetime Member Valid Until: December 2007 Valid Until: December 2007 Valid Until:
December 2007