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Submission information
Submission Number: 36
Submission ID: 11741
Submission UUID: bd0abd0c-9bc6-4c81-8711-21dc71bcd8fe
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Mon, 05/19/2025 - 22:21
Completed: Mon, 05/19/2025 - 22:22
Changed: Mon, 05/19/2025 - 22:22
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 | 2025-05-11 |
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 |