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CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO.

CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48

SEVERINO, EMILIA CONCEPCION D. SEVERINO, EMILIA CONCEPCION D. SEVERINO, EMILIA CONCEPCION D. SEVERINO, EMIL
(NAME) (NAME) (NAME) (N
City Auditor's Office-Puerto Princesa City City Auditor's Office-Puerto Princesa City City Auditor's Office-Puerto Princesa City City Auditor's Office
(OFFICE) (OFFICE) (OFFICE) (OF
For the month of: APRIL 2006 For the month of: APRIL 2006 For the month of: APRIL 2006 For the month of:

A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME A.M.
DAY

DAY

DAY

DAY
ARRIVAL DEPARTURE ARRIVAL DEPARTURE HRS MINS ARRIVAL DEPARTURE ARRIVAL DEPARTURE HRS MINS ARRIVAL DEPARTURE ARRIVAL DEPARTURE HRS MINS ARRIVAL DEPARTURE

1 SATURDAY 1 SATURDAY 1 SATURDAY 1 SATURDA


2 SUNDAY 2 SUNDAY 2 SUNDAY 2 SUNDAY
3 7:45 12:00 1:00 5:00 3 7:45 12:00 1:00 5:00 3 7:45 12:00 1:00 5:00 3 7:45 12:00
4 7:40 12:00 1:00 5:00 4 7:40 12:00 1:00 5:00 4 7:40 12:00 1:00 5:00 4 7:40 12:00
5 7:50 12:00 1:00 5:00 5 7:50 12:00 1:00 5:00 5 7:50 12:00 1:00 5:00 5 7:50 12:00
6 7:55 12:00 1:00 5:00 6 7:55 12:00 1:00 5:00 6 7:55 12:00 1:00 5:00 6 7:55 12:00
7 7:50 12:00 1:00 5:00 7 7:50 12:00 1:00 5:00 7 7:50 12:00 1:00 5:00 7 7:50 12:00
8 SATURDAY 8 SATURDAY 8 SATURDAY 8 SATURDA
9 SUNDAY 9 SUNDAY 9 SUNDAY 9 SUNDAY
10 7:55 12:00 12:35 5:00 10 7:55 12:00 12:35 5:00 10 7:55 12:00 12:35 5:00 10 7:55 12:00
11 8:00 12:00 1:00 5:00 11 8:00 12:00 1:00 5:00 11 8:00 12:00 1:00 5:00 11 8:00 12:00
12 8:00 12:00 1:00 5:00 12 8:00 12:00 1:00 5:00 12 8:00 12:00 1:00 5:00 12 8:00 12:00
13 HOLY THURSDAY 13 HOLY THURSDAY 13 HOLY THURSDAY 13 HOLY THUR
14 GOOD FRIDAY 14 GOOD FRIDAY 14 GOOD FRIDAY 14 GOOD FRID
15 SATURDAY 15 SATURDAY 15 SATURDAY 15 SATURDA
16 SUNDAY 16 SUNDAY 16 SUNDAY 16 SUNDAY
17 7:50 12:00 12:50 5:00 17 7:50 12:00 12:50 5:00 17 7:50 12:00 12:50 5:00 17 7:50 12:00
18 7:50 12:00 1:00 5:00 18 7:50 12:00 1:00 5:00 18 7:50 12:00 1:00 5:00 18 7:50 12:00
19 7:55 12:00 1:00 5:00 19 7:55 12:00 1:00 5:00 19 7:55 12:00 1:00 5:00 19 7:55 12:00
20 8:00 12:00 1:00 5:00 20 8:00 12:00 1:00 5:00 20 8:00 12:00 1:00 5:00 20 8:00 12:00
21 8:00 12:00 1:00 5:00 21 8:00 12:00 1:00 5:00 21 8:00 12:00 1:00 5:00 21 8:00 12:00
22 SATURDAY 22 SATURDAY 22 SATURDAY 22 SATURDA
23 SUNDAY 23 SUNDAY 23 SUNDAY 23 SUNDAY
24 7:50 12:00 12:50 5:00 24 7:50 12:00 12:50 5:00 24 7:50 12:00 12:50 5:00 24 7:50 12:00
25 8:00 12:00 1:00 5:00 25 8:00 12:00 1:00 5:00 25 8:00 12:00 1:00 5:00 25 8:00 12:00
26 8:00 12:00 1:00 5:00 26 8:00 12:00 1:00 5:00 26 8:00 12:00 1:00 5:00 26 8:00 12:00
27 7:50 12:00 1:00 5:00 27 7:50 12:00 1:00 5:00 27 7:50 12:00 1:00 5:00 27 7:50 12:00
28 7:45 12:00 1:00 5:00 28 7:45 12:00 1:00 5:00 28 7:45 12:00 1:00 5:00 28 7:45 12:00
29 SATURDAY 29 SATURDAY 29 SATURDAY 29 SATURDA
30 SUNDAY 30 SUNDAY 30 SUNDAY 30 SUNDAY
31 31 31 31
TOTAL TOTAL TOTAL TOTAL
I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the
report of the hours of work performed, record of which was made daily report of the hours of work performed, record of which was made daily report of the hours of work performed, record of which was made daily report of the hours of work performed,
at the time of arrival and departure from office. at the time of arrival and departure from office. at the time of arrival and departure from office. at the time of arrival and departure fro

SIGNATURE SIGNATURE SIGNATURE SIGNA


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

FRANCISCO L. CANUTO FRANCISCO L. CANUTO FRANCISCO L. CANUTO FRANCISCO


STATE AUDITOR IV STATE AUDITOR IV STATE AUDITOR IV STATE AUD
AUDIT TEAM LEADER, Team No. III AUDIT TEAM LEADER, Team No. III AUDIT TEAM LEADER, Team No. III AUDIT TEAM LEAD
SEVERINO, EMILIA CONCEPCION D.
(NAME)
City Auditor's Office-Puerto Princesa City
(OFFICE)
APRIL 2006

P.M. UNDERTIME

ARRIVAL DEPARTURE HRS MINS

SATURDAY
SUNDAY
1:00 5:00
1:00 5:00
1:00 5:00
1:00 5:00
1:00 5:00
SATURDAY
SUNDAY
12:35 5:00
1:00 5:00
1:00 5:00
HOLY THURSDAY
GOOD FRIDAY
SATURDAY
SUNDAY
12:50 5:00
1:00 5:00
1:00 5:00
1:00 5:00
1:00 5:00
SATURDAY
SUNDAY
12:50 5:00
1:00 5:00
1:00 5:00
1:00 5:00
1:00 5:00
SATURDAY
SUNDAY

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 and departure from office.

SIGNATURE
Verified as to the prescribed office hours.

FRANCISCO L. CANUTO
STATE AUDITOR IV
AUDIT TEAM LEADER, Team No. III
CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48

ATTY. EMILIA CONCEPCION D. SEVERINO ATTY. EMILIA CONCEPCION D. SEVERINO ATTY. EMILIA CONCEPCION D. SEVERINO ATTY. EMILIA CONC
(NAME) (NAME) (NAME) (N
COLLEGE OF BUSINESS AND ACCOUNTANCY COLLEGE OF BUSINESS AND ACCOUNTANCY COLLEGE OF BUSINESS AND ACCOUNTANCY COLLEGE OF BUSINE
(OFFICE) (OFFICE) (OFFICE) (O
For the month of: SEPTEMBER 2015 For the month of: SEPTEMBER 2015 For the month of: OCTOBER 2015 For the month of: O

A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME A.M.
DAY

DAY

DAY

DAY
ARRIVAL DEPARTURE ARRIVAL DEPARTURE HRS MINS ARRIVAL DEPARTURE ARRIVAL DEPARTURE HRS MINS ARRIVAL DEPARTURE ARRIVAL DEPARTURE HRS MINS ARRIVAL DEPARTURE

1 1 1 1
2 2 2 2
3 3 3 3
4 4 4 4
5 5 5 5
6 6 6 6
7 7 7 7
8 8 8 8
9 9 9 9
10 10 10 10
11 11 11 11
12 12 12 12
13 13 13 13
14 14 14 14
15 15 15 15
16 16 16 16
17 17 17 17
18 18 18 18
19 19 19 19
20 20 20 20
21 21 21 21
22 22 22 22
23 23 23 23
24 24 24 24
25 25 25 25
26 26 26 26
27 27 27 27
28 28 28 28
29 29 29 29
30 30 30 30
31 31 31 31
TOTAL TOTAL TOTAL TOTAL
I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the above is a true and correct I CERTIFY on my honor that the
report of the hours of work performed, record of which was made daily report of the hours of work performed, record of which was made daily report of the hours of work performed, record of which was made daily report of the hours of work performed
at the time of arrival and departure from office. at the time of arrival and departure from office. at the time of arrival and departure from office. at the time of arrival and departure fro

SIGNATURE SIGNATURE SIGNATURE SIGNA


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

DR. MA. TERESITA F. JARDINICO DR. MA. TERESITA F. JARDINICO DR. MA. TERESITA F. JARDINICO DR. MA. TERESIT
Dean, College of Business and Accountancy Dean, College of Business and Accountancy Dean, College of Business and Accountancy Dean, College of Busin
ATTY. EMILIA CONCEPCION D. SEVERINO
(NAME)
COLLEGE OF BUSINESS AND ACCOUNTANCY
(OFFICE)
OCTOBER 2015

P.M. UNDERTIME

ARRIVAL DEPARTURE HRS MINS

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 and departure from office.

SIGNATURE
Verified as to the prescribed office hours.

DR. MA. TERESITA F. JARDINICO


Dean, College of Business and Accountancy
CSC Form No. 6
REVISED 1984
APPLICATION FOR LEAVE

1. OFFICE AGENCY EMPLOYEE NO. 2. NAME (LAST) FIRST MIDDLE


COA - PAO, Palawan 0216518 SEVERINO EMILIA D.
3. DATE OF FILING 4. POSITION 5. MONTHLY SALARY
May 23, 2006 State Auditor II P17,211
DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) WHERE LEAVE BE SPENT

[ ] Vacation 1. IN CASE OF VACATION LEAVE


[ ] To seek employment [ ] Within the Philippines
[ ] Others (specify) [ ] Abroad (specify)

[ X ] Sick 2. IN CASE OF SICK LEAVE


[ ] Maternity [ ] In hospital (specify)
[ X ] Others (specify)
Due to dysmenoreah [ ] Out Patient (specify)

c) NUMBER OF WORKING DAYS APPLIED d) COMMUTATION


One (1) day [ ] Requested
INCLUSIVE DATES [ ] Not Requested
May 22, 2006

EMILIA D. SEVERINO
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION:


AS OF
[ ] Approved
VACATION SICK TOTAL [ ] Disapproved due to

FRANCISCO L. CANUTO
Personnel Officer State Auditor IV
Audit Team Leader - Team No. III

7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:


days with pay
days without pay
Others (specify)

MELCHOR P. BORJA
Regional Cluster Director
LGS-Cluster III Sub-cluster III

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