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Republic of the Philippines

Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF BAIS CITY
MABUNAO ELEMENTARY SCHOOL
BRGY. MABUNAO, BAIS CITY

TIME AND DEFICIENCY FORM

JERRY C. BASAY

For the Month of July

Deficiency DTR Date Type of


Description Attested by
Form Type Coverage Attachment

Approved:

JANICE GAIL A. JOROLAN


School Head

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