Civil Service Form No. 48 NDP- MacArthur RHU Civil Service Form No.

Civil Service Form No. 48 NDP- MacArthur RHU Civil Service Form No. 48 NDP- MacArthur RHU

DAILY TIME RECORD DAILY TIME RECORD DAILY TIME RECORD

CLOSA, RUTH ESANDRA B. CLOSA, RUTH ESANDRA B. CLOSA, RUTH ESANDRA B.
(Name) (Name) (Name)
For the month of 2016 For the month of 2016 For the month of 2016
Official hours for arrival Regular days Official hours for arrival Regular days Official hours for arrival Regular days
and departure Saturdays and departure Saturdays and departure Saturdays
AM PM UNDER TIME AM PM UNDER TIME AM PM UNDER TIME
Day Day Day
Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 1 1

2 2 2

3 3 3

4 4 4

5 5 5

6 6 6

7 7 7

8 8 8

9 9 9

10 10 10

11 11 11

12 12 12

13 13 13

14 14 14

15 15 15

16 16 16

17 17 17

18 18 18

19 19 19

20 20 20

21 21 21

22 22 22

23 23 23

24 24 24

25 25 25

26 26 26

27 27 27

28 28 28

29 29 29

30 30 30

31 31 31
Total ______________________________ Total ______________________________ Total ______________________________
I certify on my honor that the above is a true and correct report of the hours of work I certify on my honor that the above is a true and correct report of the hours of work I certify on my honor that the above is a true and correct report of the hours of work
performed. Record of which was made daily at the time of arrival at and departure from office.
performed. Record of which was made daily at the time of arrival at and departure from office.
performed. Record of which was made daily at the time of arrival at and departure from office.

Verified as to the prescribed office hours. Verified as to the prescribed office hours. Verified as to the prescribed office hours.

MILDA C. MAROHOM, MD MILDA C. MAROHOM, MD MILDA C. MAROHOM, MD

MHO In charge MHO In charge MHO In charge
HELEN CABUGWANG HELEN CABUGWANG HELEN CABUGWANG
DMO DMO DMO
EVANGELINE C. MATOZA, RN EVANGELINE C. MATOZA, RN EVANGELINE C. MATOZA, RN
PHN PHN PHN
 Civil Service Form No. 48 NDP-RHU MACARTHUR Civil Service Form No. 48 NDP-RHU MACARTHUR Civil Service Form No. 48 NDP-RHU MACARTHUR

DAILY TIME RECORD DAILY TIME RECORD DAILY TIME RECORD

RALPH RUDOLF S. MACEDA, RN RALPH RUDOLF S. MACEDA, RN RALPH RUDOLF S. MACEDA, RN
(Name) (Name) (Name)
For the month of SEPTEMBER 1 - 15 2017 For the month of SEPTEMBER 1 - 15 2017 For the month of SEPTEMBER 1 - 15 2017
Official hours for arrival Regular days Official hours for arrival Regular days Official hours for arrival Regular days
and departure Saturdays and departure Saturdays and departure Saturdays
AM PM UNDER TIME AM PM UNDER TIME AM PM UNDER TIME
Day Day Day
Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 1 1

2 2 2

3 3 3

4 4 4

5 5 5

6 6 6

7 7 7

8 8 8

9 9 9

10 10 10

11 11 11

12 12 12

13 13 13

14 14 14

15 15 15

16 16 16

17 17 17

18 18 18

19 19 19

20 20 20

21 21 21

22 22 22

23 23 23

24 24 24

25 25 25

26 26 26

27 27 27

28 28 28

29 29 29

30 30 30

31 31 31
Total ______________________________ Total ______________________________ Total ______________________________
I certify on my honor that the above is a true and correct report of the hours of work I certify on my honor that the above is a true and correct report of the hours of work I certify on my honor that the above is a true and correct report of the hours of work
performed. Record of which was made daily at the time of arrival at and departure from office. performed. Record of which was made daily at the time of arrival at and departure from office. performed. Record of which was made daily at the time of arrival at and departure from office.

Verified as to the prescribed office hours. Verified as to the prescribed office hours. Verified as to the prescribed office hours.

MILDA C MAROHOM MD MILDA C. MAROHOM, MD MILDA C. MAROHOM, MD

MHO In charge MHO In charge MHO In charge

HELEN CABUGWANG HELEN CABUGWANG HELEN CABUGWANG

DMO DMO DMO