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LOCAL TRAINING PROGRESS REPORT **
Postgraduate Institute of Medicine (PGIM) | University of Colombo
Email *
Please use this format when submitting the progress report for the designated trainee. Part A to C will also be shared with the trainee upon submission of the report. Part D will only be forwarded to the Board of Study and will not be shared with the trainee.
Trainee Details
Name *
Select the Major Discipline
 *
Speciality/ Subspeciality
 *
Declared area of special interest (If any)
Reporting period (From)
 *
MM
/
DD
/
YYYY
Reporting period (To)
 *
MM
/
DD
/
YYYY
Training Centre Details
Trainer/ Supervisor
 *
Designation
 *
Institution or hospital
 *
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