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Certificate of Appearance Form

The document certifies that a person named Adrianne Ouano Tirado appeared for a dental examination. The examination found she was missing several teeth and had fillings on other teeth. The certificate was issued on June 20, 2017 for employment purposes.

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Debe Mae Lauron
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42 views1 page

Certificate of Appearance Form

The document certifies that a person named Adrianne Ouano Tirado appeared for a dental examination. The examination found she was missing several teeth and had fillings on other teeth. The certificate was issued on June 20, 2017 for employment purposes.

Uploaded by

Debe Mae Lauron
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region Vll, Central Visayas
DIVISION OF CEBU CITY

CERTIFICATE OF APPEARANCE

This is to certify that ___ADRIANNE OUANO TIRADO_____ of A&D Ouano compound

_Gerardo Street, Opao Mandaue City______ has appeared at DepED Cebu City division dental clinic

at Imus Street Cebu City for dental/oral examination. It was found out that she has several missing

teeth, upper right third molar, lower right first molar, lower right third molar, upper left third molar,

lower left first molar and lower left third molar. It was also noted upon examination that she has several

filled teeth with composite and amalgam filling material. For the right upper arch, #1,#6. For the upper

left arch, #6, for the lower right arch, # 5.

This certification is issued as of this date, June 20, 2017 for employment purposes.

MELISSA MENDOZA PARADELA,DMD.


Division Dentist-In-Charge

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