Professional Documents
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Attendance To Eprs Training: LHIO-Antique
Attendance To Eprs Training: LHIO-Antique
LHIO-Antique
Date Conducted:____________________________ Conducted By:____________________________________
NO. OF EMPLOYEES
NAME
OFFICE ADDRESS
CONTACT NO.
SIGNATURE
ATTENDANCE SHEET
Cindy's II Restaurant, San Jose, Antique December 14, 2012
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.
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
SIGNATURE
CONTACT NO.
REMARKS
PC 0004
CONTACT PERSON
DATE RECEIVED