JAPA-VSRP 2025 Orientation Form

Full Name: *

University ID: *

Email Address: *

WhatsApp Number: *

Attended the Session *

Hereby confirm I acknowledge and agree to the following *

I agree to follow all the instructions provided in the orientation session.
I read and understood all instructions provided in the VSRP Student Guide that was sent to me by email.
I agree to follow all instructions provided by JAPA and the hosting preceptor.
I understand that JAPA is not responsible for travel, housing, or any fees required by the hosting institution.
I understand that any letters (acceptance, invitation, recommendation) are to be issued by the precepting physician or institution, not by JAPA.

Date of Submission *

Digital Signature *