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Archdiocese of Tuguegarao PACUCOA LEVEL IV ACCREDITTED PROGRAMS

LYCEUM OF APARRI Liberal Arts, Business Administration, Secondary Education


3515 Aparri, Cagayan PACUCOA LEVEL III ACCREDITTED PROGRAMS
High School, Nursing, Criminology, Computer Science
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Telephone: 078-888-2736 Telefax: 076-888-2736 Email add: lyceumaparri@yahoo.com

Day # ________ Date: ___________________


Type of Duty: _____Regular ______Special ______Overtime
AM Time in: ______________ Time Out: ________________
PM Time in: ______________ Time Out: ________________

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(Note: Attach pictorial’s if any; Use next page if necessary)

NO. OF HOURS DUTY RENDERD: ______________

Prepared by: Noted and verified by:

_______________________________ ___________________________________
OJT Student Head of Agency or his Representative

Note:
Site Supervisor / Head of Office / OJT Officer should sign the records or affix their signature on the daily
activities of OJT Students.

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