Department of Labor and Employment

Regional Office No. IV-A

Laguna Provincial Office
Government Intern
NAME
CITY/MUNICIPALITY SANTA CRUZ
PLACE OF ASSIGNMENT
For the Month of
Official Hours of Arrival & Departure 8:00 AM-12:00 NN - 1:00 PM-5:00 PM
DAILY TIME RECORD
AM PM LATE/UNDERTIME Accomplishment Report
DAY
Arrival Departure Arrival Departure Hours Minutes
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

I certify on my honor that the above is true and correct report on the hours performed, report of
which was made daily at the time of Arrival and Departure from the office.

Noted by:

Daisy G. Ramos
Employee's Signature Senior LEO

Lucila A. Acosta Guido R. Recio

Immediate Supervisor Provincial Director
 Department of Labor and Employment
Region IV-A
Laguna Provincial Office

Action Pictures

NAME:
PLACE OF ASSIGNMENT:
FOR THE PERIOD OF:

WEEK 1: JUNE 1-2, 2023

DAY 1: JUNE 1, 2023 DAY 2: JUNE 2, 2023

 Department of Labor and Employment
Region IV-A
Laguna Provincial Office

Action Pictures

NAME:
PLACE OF ASSIGNMENT:
FOR THE PERIOD OF:

WEEK 2: JUNE 5-9, 2023

DAY 3: JUNE 5, 2023 DAY 4: JUNE 6, 2023

DAY 5: JUNE 7, 2023 DAY 6: JUNE 8, 2023

DAY 7: JUNE 9, 2023

 Department of Labor and Employment
Region IV-A
Laguna Provincial Office

Action Pictures

NAME:
PLACE OF ASSIGNMENT:
FOR THE PERIOD OF:

WEEK 3: JUNE 12-15, 2023

DAY 8: JUNE 12, 2023 DAY 9: JUNE 13, 2023

DAY 10: JUNE 14, 2023 DAY 11: JUNE 15, 2023