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ANNEX B.

Daily Time Record

Name of Worker : ___________________________


Barangay : ___________________________
Municipality : ___________________________
Province : ___________________________
Region : ___________________________
Type of Beneficiary : ___________________________

DAYS DATE IN OUT IN OUT SIGNATURE REMARKS


1
2
3
4
5
6
7
8
9
10
Total
1-B1-Poor PWD per NHTO list B2-Poor PWD as per L/MSWDO certification B3-PWD Household Member Representative
B4-Replacement

Reviewed True and Correct by: HON. DIOSCORO P. GLIM JR.


Punong Barangay

EMMANUEL M. MATIAS
PDAO-Designee

Approved By: GRACITA M. MAGANA


City/Municipal Social Welfare Development Officer

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