CSC Form No. 48 CSC Form No.

48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : For the month of : 0
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
RHP-OIC/Provincial DOH Officer RHP-OIC/Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : January 2018 For the month of : January 2018
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 HOLIDAY 1 HOLIDAY
2 HOLIDAY 2 HOLIDAY
3 Polomolok RHU 3 Polomolok RHU
4 Sick Leave 4 Sick Leave
5 8:00 12:01 12:55 5:03 5 8:00 12:01 12:55 5:03
6 SATURDAY 6 SATURDAY
7 SUNDAY 7 SUNDAY
8 8:00 12:00 12:40 5:01 8 8:00 12:00 12:40 5:01
9 8:00 12:02 12:56 5:00 9 8:00 12:02 12:56 5:00
10 HOLIDAY 10 HOLIDAY
11 8:00 12:01 12:54 5:06 11 8:00 12:01 12:54 5:06
12 8:00 12:03 12:57 5:01 12 8:00 12:03 12:57 5:01
13 SATURDAY 13 SATURDAY
14 SUNDAY 14 SUNDAY
15 7:55 12:00 12:58 5:04 15 7:55 12:00 12:58 5:04
16 SCGCC, Koronadal City 16 SCGCC, Koronadal City
17 HRH Pre-Deployment Orientation 17 HRH Pre-Deployment Orientation
18 Tantangan and Tampakan RHU 18 Tantangan and Tampakan RHU
19 Mayor's Office, Polomolok 19 Mayor's Office, Polomolok
20 SATURDAY 20 SATURDAY
21 SUNDAY 21 SUNDAY
22 Lake Sebu RHU 22 Lake Sebu RHU
23 Family Country Hotel, Gensan City 23 Family Country Hotel, Gensan City
24 RPO No. 0087 s. 2017 24 RPO No. 0087 s. 2017
25 25
26 26
27 SATURDAY 27 SATURDAY
28 SUNDAY 28 SUNDAY
29 Tantangan and Tampakan RHU 29 Tantangan and Tampakan RHU
30 Polomolok RHU 30 Polomolok RHU
31 8:00 12:02 12:56 5:00 31 8:00 12:02 12:56 5:00
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : February 2019 For the month of : February 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 Anchor Hotel, Gensan 1 Anchor Hotel, Gensan
2 SATURDAY 2 SATURDAY
3 SUNDAY 3 SUNDAY
4 8:00 12:02 12:45 5:00 4 8:00 12:02 12:45 5:00
5 HOLIDAY 5 HOLIDAY
6 Tantangan and Tampakan RHU 6 Tantangan and Tampakan RHU
7 Polomolok RHU 7 Polomolok RHU
8 8:00 12:01 12:30 5:04 8 8:00 12:01 12:30 5:04
9 SATURDAY 9 SATURDAY
10 SUNDAY 10 SUNDAY
11 Polomolok RHU 11 Polomolok RHU
12 Tantangan and Tampakan RHU 12 Tantangan and Tampakan RHU
13 8:00 12:05 12:46 5:03 13 8:00 12:05 12:46 5:03
14 Polomolok RHU 14 Polomolok RHU
15 7:55 12:03 12:40 5:00 15 7:55 12:03 12:40 5:00
16 SATURDAY 16 SATURDAY
17 SUNDAY 17 SUNDAY
18 8:00 12:00 12:30 5:00 18 8:00 12:00 12:30 5:00
19 Paraiso Verde, Koronadal City 19 Paraiso Verde, Koronadal City
20 20
21 Hotel Dolores, Gensan City 21 Hotel Dolores, Gensan City
22 22
23 SATURDAY 23 SATURDAY
24 SUNDAY 24 SUNDAY
25 HOLIDAY 25 HOLIDAY
26 Forced Leave 26 Forced Leave
27 27
28 8:00 12:02 12:40 5:00 28 8:00 12:02 12:40 5:00
29 29
30 30
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : March 2019 For the month of : March 2019
8:00 a.m. - 12:00 nn
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
Official hours of arrival and departures:
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 8:00 12:01 12:30 5:01 1 8:00 12:01 12:30 5:01
2 SATURDAY 2 SATURDAY
3 SUNDAY 3 SUNDAY
4 CHD XII, Cotabato City 4 CHD XII, Cotabato City
5 8:00 12:03 12:40 5:02 5 8:00 12:03 12:40 5:02
6 Polomolok 6 Polomolok
7 Surallah 7 Surallah
8 Koronadal 8 Koronadal
9 SATURDAY 9 SATURDAY
10 SUNDAY 10 SUNDAY
11 7:55 12:00 12:30 5:00 11 7:55 12:00 12:30 5:00
12 Tantangan and Tampakan 12 Tantangan and Tampakan
13 Polomolok 13 Polomolok
14 Polomolok 14 Polomolok
15 Polomolok 15 Polomolok
16 SATURDAY 16 SATURDAY
17 SUNDAY 17 SUNDAY
18 7:55 12:00 12:45 5:00 18 7:55 12:00 12:45 5:00
19 Koronadal 19 Koronadal
20 Tampakan 20 Tampakan
21 Surallah 21 Surallah
22 Surallah 22 Surallah
23 SATURDAY 23 SATURDAY
24 SUNDAY 24 SUNDAY
25 CHD XII, Cotabato City 25 CHD XII, Cotabato City
26 Tampakan 26 Tampakan
27 Polomolok 27 Polomolok
28 Banga 28 Banga
29 7:55 12:00 12:30 5:00 29 7:55 12:00 12:30 5:00
30 SATURDAY 30 SATURDAY
31 SUNDAY 31 SUNDAY
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : April 2019 For the month of : April 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn 8:00 a.m. - 12:00 nn
Official hours of arrival and departures:
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 7:57 12:02 12:30 5:00 1 7:57 12:02 12:30 5:00
2 8:00 12:01 12:45 5:03 2 8:00 12:01 12:45 5:03
3 Polomolok 3 Polomolok
4 Koronadal City 4 Koronadal City
5 5
6 SATURDAY 6 SATURDAY
7 SUNDAY 7 SUNDAY
8 7:58 12:01 12:55 5:04 8 7:58 12:01 12:55 5:04
9 9
10 Gensan City 10 Gensan City
11 11
12 12
13 SATURDAY 13 SATURDAY
14 SUNDAY 14 SUNDAY
15 7:59 12:02 12:57 5:00 15 7:59 12:02 12:57 5:00
16 8:00 12:01 12:50 5:03 16 8:00 12:01 12:50 5:03
17 Koronadal City 17 Koronadal City
18 HOLIDAY 18 HOLIDAY
19 HOLIDAY 19 HOLIDAY
20 SATURDAY 20 SATURDAY
21 SUNDAY 21 SUNDAY
22 7:56 12:00 12:47 5:04 22 7:56 12:00 12:47 5:04
23 Tantangan 23 Tantangan
24 24
25 Gensan City 25 Gensan City
26 26
27 SATURDAY 27 SATURDAY
28 SUNDAY 28 SUNDAY
29 FORCED LEAVE 29 FORCED LEAVE
30 30
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : May 2019 For the month of : May 2019
8:00 a.m. - 12:00 nn
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
Official hours of arrival and departures:
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 HOLIDAY 1 HOLIDAY
2 Koronadal City 2 Koronadal City
3 3
4 Saturday 4 Saturday
5 Sunday 5 Sunday
6 CHD XII, Cotabato City 6 CHD XII, Cotabato City
7 7
8 Tampakan RHU 8 Tampakan RHU
9 Tantangan RHU 9 Tantangan RHU
10 7:59 12:01 12:30 5:00 10 7:59 12:01 12:30 5:00
11 Saturday 11 Saturday
12 Sunday 12 Sunday
13 HOLIDAY 13 HOLIDAY
14 14
15 Koronadal City 15 Koronadal City
16 16
17 17
18 Saturday 18 Saturday
19 Sunday 19 Sunday
20 8:00 12:00 Tantangan RHU 20 8:00 12:00 Tantangan RHU
21 7:52 12:01 12:30 5:00 21 7:52 12:01 12:30 5:00
22 7:59 12:02 12:45 5:02 22 7:59 12:02 12:45 5:02
23 Polomolok 23 Polomolok
24 Polomolok 24 Polomolok
25 Saturday 25 Saturday
26 Sunday 26 Sunday
27 7:55 12:00 12:45 5:00 27 7:55 12:00 12:45 5:00
28 Tampakan RHU/Polomolok RHU 28 Tampakan RHU/Polomolok RHU
29 7:55 12:02 12:30 5:01 29 7:55 12:02 12:30 5:01
30 Polomolok RHU 30 Polomolok RHU
31 8:00 12:01 12:40 5:00 31 8:00 12:01 12:40 5:00
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : JUNE 2019 For the month of : JUNE 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures:8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 SATURDAY 1 SATURDAY
2 SUNDAY 2 SUNDAY
3 7:55 12:01 12:30 5:00 3 7:55 12:01 12:30 5:00
4 8:00 12:00 12:45 5:02 4 8:00 12:00 12:45 5:02
5 HOLIDAY 5 HOLIDAY
6 Polomolok 6 Polomolok
7 Tampakan 7 Tampakan
8 SATURDAY 8 SATURDAY
9 SUNDAY 9 SUNDAY
10 8:00 12:02 12:40 5:03 10 8:00 12:02 12:40 5:03
11 8:00 12:05 12:46 5:01 11 8:00 12:05 12:46 5:01
12 HOLIDAY 12 HOLIDAY
13 Polomolok 13 Polomolok
14 8:00 12:00 12:47 5:00 14 8:00 12:00 12:47 5:00
15 SATURDAY 15 SATURDAY
16 SUNDAY 16 SUNDAY
17 8:00 12:02 12:55 5:01 17 8:00 12:02 12:55 5:01
18 7:59 12:00 12:40 5:00 18 7:59 12:00 12:40 5:00
19 Tantangan, Tampakan, Polomolok 19 Tantangan, Tampakan, Polomolok
20 7:59 12:00 12:49 5:03 20 7:59 12:00 12:49 5:03
21 Special Leave 21 Mourning Leave
22 SATURDAY 22 SATURDAY
23 SUNDAY 23 SUNDAY
24 24
25 25
26 Mourning Leave 26 Mourning Leave
27 27
28 28
29 SATURDAY 29 SATURDAY
30 SUNDAY 30 SUNDAY
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : July 2019 For the month of : July 2019
8:00 a.m. - 12:00 nn
Official hours of arrival and departures: Official hours of arrival and departures:8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Minutes
1 Tampakan RHU 1 Tampakan RHU
2 Tampakan RHU 2 Tampakan RHU
3 8:00 12:02 12:40 5:01 3 8:00 12:02 12:40 5:01
4 Polomolok RHU 4 Polomolok RHU
5 Koronadal City 5 Koronadal City
6 Saturday 6 Saturday
7 Sunday 7 Sunday
8 7:53 12:05 12:55 5:00 8 7:53 12:05 12:55 5:00
9 Polomolok RHU 9 Polomolok RHU
10 Tantangan RHU 10 Tantangan RHU
11 Tampkakan & Polomolok RHU 11 Tampkakan & Polomolok RHU
12 7:57 12:03 12:30 5:04 12 7:57 12:03 12:30 5:04
13 Saturday 13 Saturday
14 Sunday 14 Sunday
15 Tantangan RHU 15 Tantangan RHU
16 7:59 12:01 12:34 5:02 16 7:59 12:01 12:34 5:02
17 Polomolok BH 17 Polomolok BH
18 Local Holiday 18 Local Holiday
19 8:00 12:03 12:46 5:04 19 8:00 12:03 12:46 5:04
20 Saturday 20 Saturday
21 Sunday 21 Sunday
22 Special Leave 22 Special Leave
23 Gensan City 23 Gensan City
24 Koronadal City 24 Koronadal City
25 25
26 Gensan City 26 Gensan City
27 Saturday 27 Saturday
28 Sunday 28 Sunday
29 Polomolok RHU 29 Polomolok RHU
30 7:55 12:01 12:38 5:02 30 7:55 12:01 12:38 5:02
31 Polomolok RHU 31 Polomolok RHU
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
J
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : August 2019 For the month of : August 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Minutes
1 Tampakan RHU 1 Tampakan RHU
2 Polomolok RHU 2 Polomolok RHU
3 SATURDAY 3 SATURDAY
4 SUNDAY 4 SUNDAY
5 kipalbig, Tampakan 5 kipalbig, Tampakan
6 Landan, Polomolok 6 Landan, Polomolok
7 Municipal Hall;RHU, Polomolok 7 Municipal Hall;RHU, Polomolok
8 7:58 12:01 12:34 5:02 8 7:58 12:01 12:34 5:02
9 Municipal Hall; RHU Polomolok 9 Municipal Hall; RHU Polomolok
10 SATURDAY 10 SATURDAY
11 SUNDAY 11 SUNDAY
12 HOLIDAY 12 HOLIDAY
13 5:55 12:04 12:45 5:01 13 5:55 12:04 12:45 5:01
14 Tantangan 14 Tantangan
15 Tampakan RHU 15 Tampakan RHU
16 7:51 12:03 12:31 5:00 16 7:51 12:03 12:31 5:00
17 SATURDAY 17 SATURDAY
18 SUNDAY 18 SUNDAY
19 CHD XII Cotabato City 19 CHD XII Cotabato City
20 Paraiso Verde, Koronadal City 20 Paraiso Verde, Koronadal City
21 HOLIDAY 21 HOLIDAY
22 Gensan City 22 Gensan City
23 23
24 SATURDAY 24 SATURDAY
25 SUNDAY 25 SUNDAY
26 HOLIDAY 26 HOLIDAY
27 8:03 12:02 12:38 5:03 27 8:03 12:02 12:38 5:03
28 28
29 Koronadal City 29 Koronadal City
30 30
31 SATURDAY 31 SATURDAY
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : September 2019 For the month of : September 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Minutes Minutes
1 Sunday 1 Sunday
2 8:00 12:01 12:55 5:02 2 8:00 12:01 12:55 5:02
3 Tantangan RHU and Tampakan RHU 3 Tantangan RHU and Tampakan RHU
4 Polomolok RHU 4 Polomolok RHU
5 8:00 12:03 12:30 5:01 5 8:00 12:03 12:30 5:01
6 Tampakan and Polomolok RHU 6 Tampakan and Polomolok RHU
7 Saturday 7 Saturday
8 Sunday 8 Sunday
9 7:45 12:00 12:45 5:00 9 7:45 12:00 12:45 5:00
10 Tantangan RHU 10 Tantangan RHU
11 7:50 12:04 12:38 5:04 11 7:50 12:04 12:38 5:04
12 Koronadal City 12 Koronadal City
13 13
14 Saturday 14 Saturday
15 Sunday 15 Sunday
16 Poblacion, Polomolok 16 Poblacion, Polomolok
17 Brgy. Cannery Site, Polomolok 17 Brgy. Cannery Site, Polomolok
18 7:59 12:01 12:46 5:03 18 7:59 12:01 12:46 5:03
19 8:00 12:06 12:30 5:00 19 8:00 12:06 12:30 5:00
20 7:40 12:00 12:48 5:03 20 7:40 12:00 12:48 5:03
21 Saturday 21 Saturday
22 Sunday 22 Sunday
23 7:45 12:02 12:48 5:00 23 7:45 12:02 12:48 5:00
24 24
25 Gensan City 25 Gensan City
26 26
27 7:40 12:01 12:42 5:00 27 7:40 12:01 12:42 5:00
28 Saturday 28 Saturday
29 Sunday 29 Sunday
30 CHD XII, Cotabato City 30 CHD XII, Cotabato City
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
g
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE C. CERCADO Name of Employee : JESSIE C. CERCADO

For the month of : December 2019 For the month of : December 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Minutes
1 SUNDAY 1 SUNDAY
2 7:53 12:00 12:30 5:02 2 7:53 12:00 12:30 5:02
3 7:40 12:00 12:20 5:01 3 7:40 12:00 12:20 5:01
4 7:40 12:00 12:26 5:03 4 7:40 12:00 12:26 5:03
5 7:27 12:01 12:28 5:05 5 7:27 12:01 12:28 5:05
6 7:47 12:02 12:35 5:04 6 7:47 12:02 12:35 5:04
7 SATURDAY 7 SATURDAY
8 SUNDAY 8 SUNDAY
9 7:40 12:00 12:25 5:05 9 7:40 12:00 12:25 5:05
10 8:00 12:00 12:30 5:03 10 8:00 12:00 12:30 5:03
11 7:30 12:02 12:30 5:04 11 7:30 12:02 12:30 5:04
12 7:15 12:01 12:20 5:04 12 7:15 12:01 12:20 5:04
13 8:00 12:05 12:48 5:05 13 8:00 12:05 12:48 5:05
14 SATURDAY 14 SATURDAY
15 SUNDAY 15 SUNDAY
16 7:59 12:10 12:35 5:03 16 7:59 12:10 12:35 5:03
17 8:00 12:08 12:20 5:04 17 8:00 12:08 12:20 5:04
18 18
19 SICK LEAVE 19 SICK LEAVE
20 DOH-CHD XII, Cotabato City 20 DOH-CHD XII, Cotabato City
21 SATURDAY 21 SATURDAY
22 SUNDAY 22 SUNDAY
23 8:00 12:00 12:15 5:05 23 8:00 12:00 12:15 5:05
24 HOLIDAY 24 HOLIDAY
25 HOLIDAY 25 HOLIDAY
26 7:56 12:00 12:30 5:05 26 7:56 12:00 12:30 5:05
27 8:00 12:01 12:20 5:05 27 8:00 12:01 12:20 5:05
28 SATURDAY 28 SATURDAY
29 SUNDAY 29 SUNDAY
30 HOLIDAY 30 HOLIDAY
31 HOLIDAY 31 HOLIDAY
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

Name of Employee : JESSIE CERCADO Name of Employee : JESSIE CERCADO

For the month of : November 2019 For the month of : November 2019
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Minutes
1 HOLIDAY 1 HOLIDAY
2 SATURDAY 2 SATURDAY
3 SUNDAY 3 SUNDAY
4 7:55 12:01 Tantangan RHU 4 7:55 12:01 Tantangan RHU
5 8:00 12:01 12:30 5:02 5 8:00 12:01 12:30 5:02
6 7:48 12:00 12:55 5:00 6 7:48 12:00 12:55 5:00
7 8:00 12:02 12:57 5:01 7 8:00 12:02 12:57 5:01
8 Polomolok RHU 8 Polomolok RHU
9 SATURDAY 9 SATURDAY
10 SUNDAY 10 SUNDAY
11 CHD XII, Cotabato City 11 CHD XII, Cotabato City
12 Gensan City 12 Gensan City
13 13
14 8:00 12:00 12:59 5:03 14 8:00 12:00 12:59 5:03
15 8:00 12:02 12:55 5:00 15 8:00 12:02 12:55 5:00
16 SATURDAY 16 SATURDAY
17 SUNDAY 17 SUNDAY
18 18
19 Paraiso Verde, Kor. City 19 Paraiso Verde, Kor. City
20 20
21 Tantangan RHU 21 Tantangan RHU
22 CHD XII, Cotabato City 22 CHD XII, Cotabato City
23 SATURDAY 23 SATURDAY
24 SUNDAY 24 SUNDAY
25 Polomolok RHU 25 Polomolok RHU
26 26
27 27
28 Sabayang Patak Kontra Polio RCA 28 Sabayang Patak Kontra Polio RCA
29 29
30 30
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
MARILOU BARBARA T. LIBATIQUE,MD.,MCH MARILOU BARBARA T. LIBATIQUE,MD.,MCH
Provincial DOH Officer Provincial DOH Officer
CSC Form No. 48 CSC Form No. 48
DAILY TIME RECORD DAILY TIME RECORD
Name of Employee : HASSEL AINEE C. CIÑO, RN Name of Employee : HASSEL AINEE C. CIÑO, RN
For the month of : SEPTEMBER 2020 For the month of : SEPTEMBER 2020
Official hours of arrival and departures: 8:00 a.m. - 12:00 nn Official hours of arrival and departures: 8:00 a.m. - 12:00 nn
1:00 p.m. - 5:00 p.m. 1:00 p.m. - 5:00 p.m.
(Regular Days) Monday to Friday (Regular Days) Monday to Friday
(Saturdays) (Saturdays)

AM PM Under time AM PM Under time

Hour Minutes Hour Minutes

1 Day 8 Quarantine at Cannery East Satellite Health 1 Day 8 Quarantine at Cannery East Satellite Health
Center,Barangay Cannery Site Center,Barangay Cannery Site
Day 9 Quarantine at Cannery East Satellite Health Day 9 Quarantine at Cannery East Satellite Health
2 Center,Barangay Cannery Site 2 Center,Barangay Cannery Site
Day 10 Quarantine at Cannery East Satellite Health Day 10 Quarantine at Cannery East Satellite Health
3 Center,Barangay Cannery Site 3 Center,Barangay Cannery Site
Day 11 Quarantine at Cannery East Satellite Health Day 11 Quarantine at Cannery East Satellite Health
4 Center,Barangay Cannery Site 4 Center,Barangay Cannery Site
Day 12 Quarantine at Cannery East Satellite Health Day 12 Quarantine at Cannery East Satellite Health
5 Center,Barangay Cannery Site 5 Center,Barangay Cannery Site
Day 13 Quarantine at Cannery East Satellite Health Day 13 Quarantine at Cannery East Satellite Health
6 Center,Barangay Cannery Site 6 Center,Barangay Cannery Site
Day 14 Quarantine at Cannery East Satellite Health Day 14 Quarantine at Cannery East Satellite Health
7 Center,Barangay Cannery Site 7 Center,Barangay Cannery Site
8 7:59 12:05 12:55 5:06 8 7:59 12:05 12:55 5:06
9 7:55 12:01 12:55 5:04 9 7:55 12:01 12:55 5:04
10 LOCAL HOLIDAY 10 LOCAL HOLIDAY
11 7:52 12:08 12:48 5:03 11 7:52 12:08 12:48 5:03
12 8:00 12:05 12:46 5:30 12 8:00 12:05 12:46 5:30
13 SUNDAY 13 SUNDAY
14 7:55 12:08 12:51 5:03 14 7:55 12:08 12:51 5:03
15 7:57 12:05 12:50 5:01 15 7:57 12:05 12:50 5:01
16 7:59 12:02 12:56 5:01 16 7:59 12:02 12:56 5:01
17 7:59 12:04 12:56 5:02 17 7:59 12:04 12:56 5:02
18 7:57 12:02 12:51 5:04 18 7:57 12:02 12:51 5:04
19 SATURDAY 19 SATURDAY
20 SUNDAY 20 SUNDAY
21 7:57 12:04 12:59 5:03 21 7:57 12:04 12:59 5:03
22 7:55 12:06 12:55 5:07 22 7:55 12:06 12:55 5:07
23 7:57 12:05 12:46 5:02 23 7:57 12:05 12:46 5:02
MR-SIA ORIENTATION AND MICROPLANNING @ MR-SIA ORIENTATION AND MICROPLANNING @
24 POLOMOLOK MUNICIPAL GYM 24 POLOMOLOK MUNICIPAL GYM
25 7:58 12:05 12:50 5:08 25 7:58 12:05 12:50 5:08
26 SATURDAY 26 SATURDAY
27 8:00 12:05 12:53 5:01 27 8:00 12:05 12:53 5:01
28 7:52 12:08 12:53 5:01 28 7:52 12:08 12:53 5:01
29 7:57 12:04 12:56 5:02 29 7:57 12:04 12:56 5:02
30 7:58 12:06 12:50 5:01 30 7:58 12:06 12:50 5:01
31 31
TOTAL TOTAL
I CERTIFY on my behalf that the above entries are I CERTIFY on my behalf that the above entries are
true and correct report of hours of work performance, true and correct report of hours of work performance,
record of which was made daily at the time of arrival at record of which was made daily at the time of arrival at
and departure from Office. and departure from Office.

(SIGNATURE) (SIGNATURE)
Certified as to the prescribed Office hours. Certified as to the prescribed Office hours.

(SIGNATURE) (SIGNATURE)
________EARL EDWARD C. DIMAMAY MD,DP___________________EARL
COM___________________EDWARD C. DIMAMAY MD,DP COM_________
RURAL HEALTH PHYSICIAN RURAL HEALTH PHYSICIAN