Civil Service Form No. 48 Civil Service Form No.

48
IMMERSION DAILY
TIME RECORD Immersion
Teacher
(Signature over
(Name of Student)
Printed Name)
Name of
Establishment______________________ IMMERSION DAILY TIME
For the month of RECORD
A.M. P.M. Signature of
DAYS DEPAR- DEPAR- Department
ARRIVAL ARRIVAL
TURE TURE Head
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL_____________________
_________________, 20_______
Certified By:
(Name of Student)
Name of
Establishment Head Establishment______________________
(Signature over Printed Name) ___
Noted by:
For the month of
A.M. P.M. Signature of
DAYS DEPAR- DEPAR- Department
ARRIVAL ARRIVAL
TURE TURE Head
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL_____________________
____________________, 20_______

Certified By:

Establishment Head
(Signature over Printed Name)
Noted by:

Immersion
Teacher
(Signature over
Printed Name)
 DR. CECILIO PURONG NATIONAL HIGH SCHOOL
SENIOR HIGH DEPARTMENT
IMMERSION ACCOMPLISHMENT REPORT
NAME OF STUDENT: _______________________________________________ SECTION: ____________________
ESTABLISHMENT: __________________________________________________________
SUPERVISOR: _____________________________________________________________

DATE BRIEF DESCRIPTION OF WORK EXPERIENCE GAINED REMARKS