Republic of the Philippines

NUEVA VIZCAYA STATE UNIVERSITY

Bayombong, Nueva Vizcaya
DAILY ACCOMPLISHMENT REPORT
(FOR VACATION SERVICE CREDIT OF FACULTY MEMBER ON TEACHER'S LEAVE STATUS)
DAR No.:________________

Name:___________________________________________
Position:_________________________________________ Designation, if any:_____________________
Special Order No.:_________________________________ Date Issued:__________________________

ACTUAL ACCOMPLISHMENTS REMARKS

Target Deliverables/Outputs Target Period
Date & No. of hrs.mins No. of
% of Time as rendered reasonable
NO. DAILY DELIVERABLES/
Comple- per (Excluding hours
(AS PER APPROVED PROGRAM OF WORK) OUTPUTS tion eDTR regular allowed daily
or MAK teaching load)
Dates No. of hrs. Quantity Particulars Hrs. Mins.

TOTAL

Prepared by: Certified Correct:

_______________________________ ________________________
Concerned Faculty Member Dean or Director

CERTIFICATION OF ACCEPTANCE OF DELIVERABLES

This is to certify that the deliverables/outputs indicated above have been completely undertaken within
reasonable period of time in accordance with the approved Program of Work/Plan of Activities. After careful
review of pertinent documents, I hereby accept the deliverables/outputs presented to me by:

Period Covered: From: ________ To: ____________ Accepted by:

Total No. of Reasonable
Hour/s Allowed: Hours ________ Minutes _________ _________________________
Campus Administrator

NVSU-FR-AMS-23-00 (070320)
 Republic of the Philippines
NUEVA VIZCAYA STATE UNIVERSITY
Bayombong, Nueva Vizcaya
DAILY ACCOMPLISHMENT REPORT
(FOR VACATION SERVICE CREDIT OF FACULTY MEMBER ON TEACHER'S LEAVE STATUS)
DAR No.:________________

Legal Bases:
Note: The form was adopted from the DBM-CSC Resolution with some revisions
Reference: 1. ExeCom Resolution No. 04-20-176, s. 2015 dated 20 April 2015.
2. Institutionalized by virtue of Memorandum OPM No. 206 dated 01 September 2015.

NVSU-FR-AMS-23-00 (070320)