ECVS
PRESENTATION LOG to accompany report July 31st 20____

Residents Name:

Date	Title of presentation	Type of meeting*	Name of meeting, location and organising group

				

				

				

				

				

				

				

				
* International, national, regional or in-house.  				

We confirm the accuracy of this presentation log.

Residents/Trainees Signature	___________________________________________________________________

Supervisor Signature	__________________________________________________________________________

Date:			________________________

Note: The log entries must be typewritten in English

Aug. 2007
Revised Feb 2010