Republic of the Philippines

Department of Education
Region V
SCHOOLS DIVISION OFFICE
Tabaco City

SUMMARY OF SERVICE CREDITS AND

COMPENSATORY OVERTIME CREDITS GRANTED
NAME OF ACTIVITY: _______________________________________________________
PERIOD COVERED: ________________________________________
EMPLOYEE
DISTRICT/STATION NO. OF DAYS SC/COC
NUMBER NAME

Prepared by: Certified Correct:

___________________________ __________________________
Signature over Printed name/ Designation Signature over Printed name/ Designation

Note:
 Sorted by district/station
 Form 48 & Approved Request attached
 Prepared/ certified correct by the proponent of the activity/ concerned employee/s