14-15 Annex B –DND – First Aid/CPR Course Report

DND - First Aid / CPR Course Report 

A - Course Number and date of examination

DND Special Centre Course Number 

Date of Examination: Day / Month / Year 

B - Course and Elective Content 

Course Code 

First Aid: 

CPR: 

C- Student Data 

Enrolled: 

Passed (P): 

Failed (F): 

Dropped Out (D): 

Lesson Taught: Circle number between 1 ad 28 

D - Unit Location 

Unit: 

UIC: 

E- Student Enrolment

Fill out for each student 

Codes: 

Rank: 

SN/PRI: 

Given Name: 

Surname: 

Language: 

Examen: P, F or D

F -  Certified these results are a true assessment of the candidates examined in the course indicated. 

Fill out for each instructor

FAI/FAIT Instructors

Instructor Identification number: 

SN/PRI: 

Rank: 

Full names and signature: 

Role: I /E / M

Monitor: Yes / No