Ala. Admin. Code r. 630-X-A-7
Rule 630-X-7-.07
CERTIFICATE OF ATTENDANCE APPENDIX A
(FORM CE1)
The_____________________________________________________ hereby Sponsor’s Name
certifies
that ____________________________________ OD
Name
__________________________
License No.
Attended the following clock hours of study:
Name of Course:______________________________________________________
Lecturer:______________________________________________________________
Date:_________________________________________________________________
Number of Hours:_______________________________________________
__________________________________________________
Signature or Certification of Sponsor