Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
SCHOOLS DIVISION OF ISABELA
306127-San Mateo National High School
Sinamar Norte, San Mateo, Isabela

DAILY TIME RECORD

Name: _____________________________________
Month of: __________________________________
_
A.M P.M Total Hours Signature of Work
Immersion
Date In Out In Out Supervisor/Personnel

Incharge

Certified true and correct:

_______________________________________________ __________________________________________
Student’s Signature Over Printed Name Parent’s Signature Over Printed Name

ROGER L. ANOLING JR. ________________________________________

Work Immersion Teacher’s Signature Over Printed Name Industry Supervisor’s Signature Over Printed Name

Work Immersion Site/Office: ____________________________ Date of Actual Immersion: __________________________

Work Immersion Manual and Portfolio 1

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
SCHOOLS DIVISION OF ISABELA
306127-San Mateo National High School
Sinamar Norte, San Mateo, Isabela

DAILY TIME RECORD

Name: _____________________________________
Month of: __________________________

A.M P.M Total Hours Signature of Work

Immersion
Date In Out In Out Supervisor/Personnel

Incharge

Certified true and correct:

_______________________________________________ __________________________________________
Student’s Signature Over Printed Name Parent’s Signature Over Printed Name

ROGER L. ANOLING JR. ________________________________________

Work Immersion Teacher’s Signature Over Printed Name Industry Supervisor’s Signature Over Printed Name

Work Immersion Site/Office: ____________________________ Date of Actual Immersion: __________________________

Work Immersion Manual and Portfolio 2