Republic of the Philippines

Department of Education

Schools Division of Cebu City

__________________________________________________________________________________

Name :
Position :

TIME AND DEFICIENCY FORM

Deficiency Date Remarks Signature
Description
Type of Coverage of Immediate
Head
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Approved
 Disapproved
 Travel Order/Certificate of Appearance
 Attach form 6 if on official leave

Prepared by:

ADOLF P. AGUILAR
OIC-Assistant Schools Division Superintendent
New Imus Ave., Barangay Day-as, Cebu City
Telephone Number: 2551516

DepEd Tayo Cebu City

depedcebucity.com