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Department of Student Services and Development
                                                       Potia Campus

                                        Guidance and Counseling Center
                                                    Clients Log Sheet
            No.    Date      Time        Name         M  F  Course &  Purpose of            Time      Signature
                              In       (Given Name,              Year           Visit        Out
                                       Middle Initial,
                                       Family Name)
   103   104   105   106   107   108   109   110   111   112   113