CPD Council Of/for
CPD Council Of/for
CPD Council Of/for
MONITORING REPORT
Date/s: Venue:
Evaluation of Program: (Indicate the topics and time per activity, use separate sheet if needed)
Remarks
Time Frame Topic Speaker Time Frame Topic Speaker Non-
Compliant
Compliant
CPDD-04
Rev. 05
June 29, 2020
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Master/s of
Total Number of Participants (Please attach the Attendance Sheets):
Ceremonies:
Observations/Findings with relevant photos/videos: Recommendations (To be presented consistent with the
Observations/Findings):
_________________________________________ _________________________________________
(Signature Over Printed Name) (Signature Over Printed Name)
CPD Monitor CPD Provider’s Authorized Representative
_________________________ ______________________
Date and Time Date and Time
CPDD-04
Rev. 05
June 29, 2020
Page 2 of 2