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Submission information
Submission Number: 35
Submission ID: 11736
Submission UUID: 76c12151-0571-4792-ab81-755a824739aa
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Mon, 05/19/2025 - 22:19
Completed: Mon, 05/19/2025 - 22:20
Changed: Mon, 05/19/2025 - 22:20
Remote IP address: 162.158.63.61
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Safe Ride Home Form
Student Number | 8600793 |
---|---|
First Name | Nadin |
Last Name | Abbas |
Date of service | 2025-05-09 |
Your on-call shift’s start time | 17:00 |
Your on-call shift’s end time | 08:00 |
Proof of on call shift | |
Proof of payment | |
Proof of payment 2 | |
Name of hospital where work was performed | The Ottawa General Hospital |
Home program | Internal Medicine |
Comment |