DAILY TIME RECORD 12

-----o0o----- 13

Name 14
_________________________________________________Address 15
TUPAD ID No. 16
For the month of
17
A.M. P.M. Undertime
18
Day Min-
Arrival Depar-ture Arrival Depar-ture Hours 19
utes
20
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
9
29
10
30
11
31
12
Total
13
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
14 daily at the time of arrival and departure from work.

15
(Signature over printed name of TUPAD Beneficiary)
16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Total
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 departure from work.

(Signature over printed name of TUPAD Beneficiary)

Verified by:

_______________________________________

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

DAILY TIME RECORD

-----o0o-----

Name

_________________________________________________Address

_________________________________________________TUPAD ID No.

For the month of

A.M. P.M. Undertime

Day Min-
Arrival Depar-ture Arrival Depar-ture Hours
utes

10

11