Republic of the Philippines

NORTHWEST SAMAR STATE UNIVERSITY

Main Campus, Calbayog Ciity

INSTRUCTOR'S LOAD

School Year: 2023-2024

Semester : 1st
NAME : Maribojoc Ritchie Pallones Home Address :
Surname First name Middle Name
Educational Qualification : Baccalaureate : Major :
Master's Degree : Major :
Doctoral Degree : Major :
Administrative Designation / Special Assignment:
Years of teaching experience: Public School : Private School:
SUBJECTS
TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
7:00 - 7:30
7:30 - 8:00
8:00 - 8:30 CPE 17
8:30 - 9:00 ECE 313 TE 1 ECE 313 TE 1 CEA 003A
9:00 - 9:30 CEA 003A CEA 003A CEA 003A CEA 003A BSCPE 4
9:30 - 10:00 BSCPE 3 BSCPE 3 BSCPE 3 BSCPE 3
10:00-10:30
10:30-11:00 ECE 353 CPE 17 ECE 353
11:00-11:30 CEA 003B CEA 003B CEA 003B
11:30-12:00 BSCPE 3 BSCPE 4 BSCPE 3
12:00-12:30
NOON BREAK
12:30- 1:00
1:00 - 1:30 CpE 2 lab CpE 2 lab
1:30 - 2:00 CEA 003A CEA 003A
2:00 - 2:30 BSCPE 1 BSCPE 1
2:30 - 3:00 -DO- -DO-
3:00 - 3:30 -DO- -DO-
3:30 - 4:00 -DO- -DO-
4:00 - 4:30
4:30 - 5:00
5:00 - 5:30
5:30 - 6:00
6:00 - 6:30
6:30 - 7:00
7:00 - 7:30
7:30 - 8:00
8:00 - 8:30
8:30 - 9:00
Lec Lab
SUBJECT SECTION DESCRIPTION HOURS HOURS
CpE 2 lab BSCPE 1 Programming Logic and Design 6
ECE 313 BSCPE 3 Data and Digital Communications 3
ECE 353 BSCPE 3 Fundamentals of Mixed Signals and Sensors 3
TE 1 BSCPE 3 Cognate / Elective Course 1 3
CpE 17 lec BSCPE 4 Embedded Systems 3
CpE 17 lab BSCPE 4 Embedded Systems 3

TOTAL: 12 9
Form No. 004 Republic of the Philippines Prepare in 8 copies
1. Personnel Officer
Revised November 2009 NORTHWEST SAMAR STATE UNIVERSITY 2. Accounting Section
Main Campus, Calbayog Ciity 3. COA Resident Auditor
4. VP, Academic Affairs
TEACHING LOAD FORM 5. Dean Concerned
6. Instructor Concerned
7. Registrar
Undergraduate Graduate 8. Cashier
School Year: 2023-2024
Semester : 1st Regular Overload Part -time
NAME : Home Address :
Surname First name Middle Name
Educational Qualification : Baccalaureate : Major : Minor:
Master's Degree : Major :
Doctoral Degree : Major :
Administrative Designation / Special Assignment:
Years of teaching experience: Public School : Private School: Total :
SUBJECTS Dept/Subj No. of Contact
TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY Yr & Sec. Stud. Hours
7:00 - 7:30
7:30 - 8:00
8:00 - 8:30
8:30 - 9:00
9:00 - 9:30
9:30 - 10:00
10:00-10:30
10:30-11:00
11:00-11:30
11:30-12:00
12:00-12:30
NOON BREAK
12:30- 1:00
1:00 - 1:30
1:30 - 2:00
2:00 - 2:30
2:30 - 3:00
3:00 - 3:30
3:30 - 4:00
4:00 - 4:30
4:30 - 5:00
5:00 - 5:30
5:30 - 6:00
6:00 - 6:30
6:30 - 7:00
7:00 - 7:30
7:30 - 8:00
8:00 - 8:30
8:30 - 9:00
Indicate inside subject block: Student Contact # of
1. Course Code Lecture : CERTIFIED TRUE AND CORRECT: Hours (Undergrad)uate )
2. Room Number Laboratory/Shop : Lecture :
3. Overload Other Assignments: Laboratory :
4. Research, Extension & Consultation Non-teaching Hours : Student Contact # of
5. Designated Work Research: 3 Signature Over Printed Name Hours (Graduate)
6. DPTL Code : Extension: 3 Lecture :

Consultation: 3 Laboratory :
Total : 0.0 Number of Preparations :
RECOMMENDING APPROVAL:

Dean, Dean, Dean, Dean,

Date : _____________________ Date : _____________________ Date : _____________________ Date : ______________
.
FE D. MONTECALVO, Ed. D. BENJAMIN L. PECAYO,, Ed. D. MARIETTA L. ESPINA, Ph. D.
Vice President for Academic Affairs Vice President for Administration Vice President for Research and Extension

Approved :
AVELINA N. BERGADO, Ed. D.
SUC President
 Prepare in 8 copies
1. Personnel Officer
2. Accounting Section
3. COA Resident Auditor
4. VP, Academic Affairs
5. Dean Concerned
6. Instructor Concerned
7. Registrar
8. Cashier

Tot Cont
Hours
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0 0 0

0.0
0.0

Dean,
Date : ______________

MARIETTA L. ESPINA, Ph. D.

Vice President for Research and Extension

d. D.
Form No. 004 Republic of the Philippines Prepare in 8 copies
1. Personnel Officer
Revised November 2009 NORTHWEST SAMAR STATE UNIVERSITY 2. Accounting Section
Main Campus, Calbayog Ciity 3. COA Resident Auditor
4. VP, Academic Affairs
TEACHING LOAD FORM 5. Dean Concerned
6. Instructor Concerned
7. Registrar
Undergraduate Graduate 8. Cashier
School Year: 2023-2024
Semester : 1st Regular Overload Part -time
NAME : Home Address :
Surname First name Middle Name
Educational Qualification : Baccalaureate : Major : Minor:
Master's Degree : Major :
Doctoral Degree : Major :
Administrative Designation / Special Assignment:
Years of teaching experience: Public School : Private School: Total :
SUBJECTS Dept/Subj No. of Contact
TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY Yr & Sec. Stud. Hours
7:00 - 7:30
7:30 - 8:00
8:00 - 8:30
8:30 - 9:00
9:00 - 9:30
9:30 - 10:00
10:00-10:30
10:30-11:00
11:00-11:30
11:30-12:00
12:00-12:30
NOON BREAK
12:30- 1:00
1:00 - 1:30
1:30 - 2:00
2:00 - 2:30
2:30 - 3:00
3:00 - 3:30
3:30 - 4:00
4:00 - 4:30
4:30 - 5:00
5:00 - 5:30
5:30 - 6:00
6:00 - 6:30
6:30 - 7:00
7:00 - 7:30
7:30 - 8:00
8:00 - 8:30
8:30 - 9:00
Indicate inside subject block: Student Contact # of
1. Course Code Lecture : CERTIFIED TRUE AND CORRECT: Hours (Undergrad)uate )
2. Room Number Laboratory/Shop : Lecture :
3. Overload Other Assignments: Laboratory :
4. Research, Extension & Consultation Non-teaching Hours : Student Contact # of
5. Designated Work Research: 3 Signature Over Printed Name Hours (Graduate)
6. DPTL Code : Extension: 3 Lecture :

Consultation: 3 Laboratory :
Total : 0.0 Number of Preparations :
RECOMMENDING APPROVAL:

Dean, Dean, Dean, Dean,

Date : _____________________ Date : _____________________ Date : _____________________ Date : ______________
.
FE D. MONTECALVO, Ed. D. BENJAMIN L. PECAYO,, Ed. D. MARIETTA L. ESPINA, Ph. D.
Vice President for Academic Affairs Vice President for Administration Vice President for Research and Extension

Approved :
AVELINA N. BERGADO, Ed. D.
SUC President
epare in 8 copies
Personnel Officer
Accounting Section
COA Resident Auditor
VP, Academic Affairs
Dean Concerned
nstructor Concerned
Registrar
Cashier

Tot Cont
Hours
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0 0 0

0.0
0.0

Dean,
_____________

SPINA, Ph. D.
earch and Extension