INTERNAL MEMORANDUM - kau



| | | |

| |King Abdulaziz University | |

|[pic] |Faculty of Medicine |[pic] |

| |Ministry of Higher Education | |

| |Jeddah, KSA | |

Type of Vacation : Annual Eid

First

Second Third

Date of application : _______________________________

Intern's Name : _______________________________

ID Number : _______________________________

Hospital : _______________________________

Department : _______________________________

Date of Vacation : From:_______ To: ________ (5 DAYS ONLY)

Intern’s Signature : _____________________________

Internship office: Agree Disagree

Approved by: ______________

KAU House Officers’ Supervisor

Final Approval by the department:

Agree Disagree

______________________ __________________

Name & Signature Position

NOTE: Five (5) days only to be taken either RAMADAN or HAJJ Holiday according to the hospital policy.

For the affiliated hospitals approval, please send copy to KAU head office (Fax No. 640 8341)

(Email: med. vd.ca.@kau.edu.sa). For intern’s record purposes.

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