Republic Of The Philippines
Department Of Education
Region XII
Division Of South Cotabato
ES Principal-I
EmployeeNo. Republic Of The Philippines
Department Of Education
Region XII
Division Of South Cotabato
_____________________
Employee No.
Name of Employee
For the month of __NOVEMBER , 2022 ___________________
Name of Employee
A.M. P.M.
Arrival: ________________ For the month of __NOVEMBER , 2022
Departure: _______________________
Saturday: (As required)____ A.M. P.M.
Arrival: ________________
Departure: _______________________
Day Arrival Departure Arrival Departure Saturday: (As required)____
1.
2.
3. Day Arrival Departure Arrival Departure
4. 1.
5. 2.
6. 3.
7. 4.
8. 5.
9. 6.
10. 7.
11. 8.
12. 9.
13. 10.
14. 11.
15. 12.
16. 13.
17. 14.
18. 15.
19. 16.
20. 17.
21. 18.
22. 19.
23. 20.
24. 21.
25. 22.
26. 23.
27. 24.
28. 25.
29. 26.
30. 27.
31. 28.
29.
I hereby certify on my honor that the above is true and 30.
correct on hours of work performed which was made daily at 31.
the time of arrival and departure from office.
I hereby certify on my honor that the above is true and
correct on hours of work performed which was made daily at
___________________________________________ the time of arrival and departure from office.
_
Signature
___________________________________________
_
Verified as to prescribed office hours: Signature
___________________________________________
_ Verified as to prescribed office hours:
___________________________________________
_
ES Principal-I