MONTH : POSITION: DOLE G.I.P.

PROVINCE OF NUEVA VIZCAYA

NAME : MUNICIPALITY OF BAYOMBONG
OFFICE/DEPARTMENT /BRGY:
ACCOMPLISHMENT REPORT
OFFICIAL TIME : (AM) 8:00 - 12:00 Month of ________ 2023
(PM) 1:00 - 5:00

MORNING AFTERNOON Absences/ Overtime

DAYS

IN OUT IN OUT Tardiness

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

No. of Days Worked /

Overtime
GIP Name and Signature

ATM - Saving Account(SA) Number :

Note : *Accomplish in two (2) Copies (Original Signed)

Supervisor's Name &Signature

DTR Received: Evaluated by: (FO Staff) Evaluated by: IMSD Staff)

Date: Time:
(Name and Signature) (Name and Signature)
By: Date : Date :

Doc. Code: QFR-QOP-36-02 Rev.: 02