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ATTENDANCE TO EPRS TRAINING

LHIO-Antique
Date Conducted:____________________________ Conducted By:____________________________________
NO. OF EMPLOYEES

NAME

OFFICE / BUSINESS NAME

OFFICE ADDRESS

CONTACT NO.

SIGNATURE

TOTAL NO. OF TRAINEES : _________

ATTENDANCE SHEET
Cindy's II Restaurant, San Jose, Antique December 14, 2012

NAME

OFFICE / BUSINESS NAME

OFFICE ADDRESS

NO. OF EMPLOYEES

CONTACT NO.

SIGNATURE

EPRS Reporting

Yes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

No

ATTENDANCE OF EMPLOYER
DATE OFFICE/BUSINESS NAME
NO. OF EMPLOYER

AMOUNT REPORTED

MONTH REPORTED

DATE OF SPA

SIGNATURE

ATTENDANCE SHEET Orientation with LGUs re Accreditation as ACAs & EPRS Updates
Femos Centrosphere, Atabay, San Jose, Antique
February 26, 2013

NO.

NAME

OFFICE ADDRESS

POSITION

CONTACT NO.

ET CAs & EPRS Updates


Jose, Antique

EMAIL ADDRESS

TIME

SIGNATURE

ATTENDANCE SHEET Orientation with LGUs re Accreditation as ACAs & EPRS Updates
Femos Centrosphere, Atabay, San Jose, Antique
February 26, 2013

NO.

NAME

OFFICE ADDRESS

CONTACT NO.

TIME

SIGNATURE

CERTIFICATE OF APPEARANCE
PhilHealth Personnel: ______________________________________ ______________________________________

DATE

CONTACT PERSON

OFFICE / BUSINESS NAME

SIGNATURE

CONTACT NO.

REMARKS

PC 0004

OFFICE / BUSINESS NAME

CONTACT PERSON

DATE RECEIVED

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