CIVIL SERVICE FORM NO: 48 E#: 6277173 E#: 6277173 CIVIL SERVICE FORM NO: 48 E#: 6277173 CIVIL

E#: 6277173 CIVIL SERVICE FORM NO: 48 E#: 6277173 CIVIL SERVICE FORM NO: 48 E#: 6277173

DAILY TIME RECORD DAILY TIME RECORD DAILY TIME RECORD DAILY TIME RECORD

ERNILO C. DOMINGO ERNILO C. DOMINGO ERNILO C. DOMINGO ERNILO C. DOMINGO

For the month of FEBRUARY 2024 For the month of FEBRUARY 2024 For the month of FEBRUARY 2024 For the month of FEBRUARY 2024
Official hours for arrival {Regular Days 8:00AM-5:00PM Official hours for arrival {Regular Days 8:00AM-5:00PM Official hours for arrival {Regular Days 8:00AM-5:00PM Official hours for arrival {Regular Days 8:00AM-5:00PM
and departure {Saturdays AS REQUIRED and departure {Saturdays AS REQUIRED and departure {Saturdays AS REQUIRED and departure {Saturdays AS REQUIRED
A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME
Day Arrival Depar- Arrival Depar Hours Min- Day Arrival Depar- Arrival Depar Hours Min- Day Arrival Depar- Arrival Depar Hours Min- Day Arrival Depar- Arrival Depar Hours Min-
ture ture utes ture ture utes ture ture utes ture ture utes
1 1 1 1
2 2 2 2
3 SATURDAY 3 SATURDAY 3 SATURDAY 3 SATURDAY
4 SUNDAY 4 SUNDAY 4 SUNDAY 4 SUNDAY
5 5 5 5
6 Oral Reading Validation 6 Oral Reading Validation 6 Oral Reading Validation 6 Oral Reading Validation
7 7 7 7
8 Holiday 8 Holiday 8 Holiday 8 Holiday
9 Holiday 9 Holiday 9 Holiday 9 Holiday
10 SATURDAY 10 SATURDAY 10 SATURDAY 10 SATURDAY
11 SUNDAY 11 SUNDAY 11 SUNDAY 11 SUNDAY
12 12 12 12
13 13 13 13
14 14 14 14
15 15 15 15
16 16 16 16
17 SATURDAY 17 SATURDAY 17 SATURDAY 17 SATURDAY
18 SUNDAY 18 SUNDAY 18 SUNDAY 18 SUNDAY
19 19 19 19
20 20 20 20
21 21 21 21
22 22 22 22
23 23 23 23
24 SATURDAY 24 SATURDAY 24 SATURDAY 24 SATURDAY
25 SUNDAY 25 SUNDAY 25 SUNDAY 25 SUNDAY
26 26 26 26
27 2nd District Clinical Supervision at TSIS 27 2nd District Clinical Supervision at TSIS 27 2nd District Clinical Supervision at TSIS 27 2nd District Clinical Supervision at TSIS
28 28 28 28
29 29 29 29
30 30 30 30
31 31 31 31
TOTAL TOTAL TOTAL TOTAL
I CERTIFY on my honors that the above is a true correct I CERTIFY on my honors that the above is a true correct I CERTIFY on my honors that the above is a true correct I CERTIFY on my honors that the above is a true correct
report of the hours of work performed, record of which was report of the hours of work performed, record of which was report of the hours of work performed, record of which was report of the hours of work performed, record of which was
made daily at the time of arrival and departure from office. made daily at the time of arrival and departure from office. made daily at the time of arrival and departure from office. made daily at the time of arrival and departure from office.

Verified as to the prescribe office hours Verified as to the prescribe office hours Verified as to the prescribe office hours Verified as to the prescribe office hours

JOCELYN T. PEREZ, EdD JOCELYN T. PEREZ, EdD JOCELYN T. PEREZ, EdD JOCELYN T. PEREZ, EdD
In-charge In-charge In-charge In-charge
JMA/2000 JMA/2000 JMA/2000 JMA/2000
.
 Received:

CSC FORM NO. 6 APPLICATION FOR LEAVE

REVISED 1984
1. OFFICE/AGENCY NAME (last) (First) (Middle)

DepEd, Division of Pagadian City

3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)

DETAILS OF APPLICATION
6. a.) TYPE OF LEAVE 6. b.) WHERE WILL LEAVE BE SPENT
( ) VACATION - Forced leave ( 1 ) IN CASE OF VACATION LEAVE
( ) To seek employment ( ) Within the Philippines

( ) others (specify) ( ) Abroad (specify)

u
( ) SICK ( 2 ) IN CASE OF SICK LEAVE
( ) In hospital (specify)
( ) MATERNITY
( ) OTHERS (specify) ( ) Out - Patient (specify)

6. c.) NUMBER OF WORKING DAYS 6. d.) COMMUTATION

APPLIED FOR: ( ) Requested ( ) Not requested

INCLUSIVE DATES

(Employee's Signature)
7. a.) CERTIFICATION OF LEAVE CREDITS
7. b.) RECOMMENDATION
as of ( ) Approval
( ) Disapproval due to

Vacation Sick Total

Days Days Days (Authorized Official)

(Personnel Officer)
7. c.) APPROVED FOR: 7. d.) DISAPPROVED:
days with pay
days with out pay
others (specify)

Assistant Schools Division Superintendent

(Authorized Official)
(Date)