Confirmation of practical training completion and student evaluation Last name and first name of the student: Study programme: Admission confirmation, dated: Provider's registered office: and/or address of the workplace where the training took place: The training took place on: The reasons and number of days of absence from the workplace (illness, study, private matters, etc., must be made up in full extent): Brief characteristics of student's work activities during the training: Evaluation of student's performance in the training: Responsible for due organisation and implementation of the training programme and evaluation: First name, Last name and function: Date, signature and stamp of the organisation I was made familiar with the evaluation on: Student's signature: