Republic of the Philippines

DEPARTMENT OF EDUCATION
Region___- _____________________
DepEd- ________________
_________________________________________

SUMMARY OF MONTHLY PAYROLL WORKSHEET AND REPORT OF SERVICE (FORM 7)

FOR THE MONTH OF _______________________________________

District Name: _____________________________________ (EE) Station Name: ____________________________________ (SE)

Station No.: ____________ Station No.: __________________

A. LEAVE WITHOUT PAY STATUS/ABSENCES/UNDERTIME

Employee Absences No. Under Time Total No. of Type of Total Amt. of Ded. Division Encoder's
No. Stn. No./Name No. Name of Employee Position Basic Salary PERA/ACA Days
Leave/Absences/underti
Leave/Absences Remark
me
Incl. Dates Hour Mins. Sec. BS/PERA/ACA
1 001-Bueno Dist. 1234567 Juan Carpio Dela Cruz EGT I 22,316.00 2,000.00 Jan. 5, 2021 1 1day absent 1,215.80
2 001-Bueno Dist. 7654321 Emilio Jez Cinsilyo MT I 42,159.00 2,000.00 Jan. 7-8pm, 2021 1 4 1day and 4hrs. absent 3,311.92
3 001-Bueno Dist. 1431430 Leonor Santos Perez ADAS 3 18,784.00 2,000.00 Jan. 11, 2021 1 30 1hr and 30mins. undertime 195.00
4 001-Bueno Dist. 1010101 Crisostomo Angeles Ibarra HT 2 32,053.00 2,000.00 Jan. 11-15, 2021 5 5days absent 8,513.25
5 001-Bueno Dist. 2020202 Josephine Bracken Reyes P1 46,791.00 2,000.00 Jan. 12, 2021 45 45mins. undertime 228.71
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B. LEAVE WITH PAY STATUS

Total No. of Type Of Leave w/ Pay
No. Stn. No./Name Employee Name of Employee Position Basic Salary PERA/ACA Inclusive Date of Leave Days with (Personal/Sick/Vacation/ Offset to Division Encoder's
No. With Pay Remark
Pay Maternity/ect.)
1 001-Bueno Dist. 4567890 Salmon Prieto Tambaca EGT I 22,316.00 2,000.00 Jan. 01-31, 2021 1 month Vacation Leave Service Credit
2 001-Bueno Dist. 0987654 Analyn Bakie Toy-ud ADAS II 17,505.00 2,000.00 Jan. 18-22, 2021 5 days Force Leave Force Leave
3 001-Bueno Dist. 4560000 Jackie Tan Timus MT II 46,791.00 2,000.00 Jan. 01-April 15, 2021 105 days Maternity Leave Expanded Maternity Leave RA 11210
4 001-Bueno Dist. 0000001 Betty La Fea EGT II 24,495.00 2,000.00 Jan. 4-8, 11-15, 2021 10 days Sick Leave
5
Note: Please attached Approved Leave with Pay signed by the SDS and carded by Records Section.

C. FOR IN-ACTIVATION DUE TO RETIRED/DECEASED/TRANSFERRED/RESIGNED/SEPARATED AND ETC.

Employee For In-Activation If transferred (Place of
No. Stn. No./Name No. Name of Employee Position Basic Salary PERA/ACA Due to Date of Effectivity transfer) Division Encoder's Remark

1 001-Bueno Dist. 2000001 Sunshine Cannie Belo HT 3 35,106.00 2,000.00 Retired Jan. 04, 2021
2 001-Bueno Dist. 0011000 Lyn Anas Miro-Miro P3 59,353.00 2,000.00 Transferred Jan.11, 2021 Ius-Canto NHS
3 001-Bueno Dist. 0011111 Grace Albe Santa MT I 42,159.00 2,000.00 Deceased Jan. 04, 2021

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Prepared by: Certified Correct: Noted By:

Designation School Principal District Incharge

Date: Date: Date:

Contact No.: ____________________________ Contact No.: ________________________________ Contact No.: