Annex J-1 Annex J-1

TUPAD Daily Time Record TUPAD Daily Time Record

_______________________________________
Name: ____________________
Name: ____________________
Address: __________________
Address: __________________
TUPAD ID No.: ________________
TUPAD ID No.: ________________

I certify on my honor that the above is a true and correct report of the hours I certify on my honor that the above is a true and correct report of the hours
of work performed, record of which was made daily at the time of arrival and of work performed, record of which was made daily at the time of arrival and
departure from work. departure from work.

________________________ ________________________
Verified by: Verified by:

DIVINA R. LUIS DIVINA R. LUIS

Sr. EMS/CDS Chief_____ Sr. EMS/ CDS Chief____
Authorized Coordinator Authorized Coordinator
e. DOLE PO/FO Head, PESO Manager, LGU/Brgy Official or Designated e. DOLE PO/FO Head, PESO Manager, LGU/Brgy Official or Designated
Rep., (if Direct Admin) Rep., (if Direct Admin)
NGO/PO Officers or Designated Rep. if thru Co-partner) NGO/PO Officers or Designated Rep. if thru Co-partner)