Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
                                           Rehiyon XI
                                  SANGAY NG LUNGSOD NG DABAW
                                        Lungsod ng Dabaw
                   Explanation for Failure to Log-in/out Form (EFLF)
                                                                             Date:
                                                                      ______________
To: THE SCHOOLS DIVISION SUPERINTENDENT
        Pursuant to Division Order 0255, s. 2013, please be informed that I ISADORA A. LATIADA
failed to Log- In ( ) Actual time of Arrival: __________ A.M. ____________P.M.
Date:___________
failed to Log-out ( ) Actual time of Departure: _______ A.M.     ____________P.M. Date:
__________
for the following reasons:
         ___________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
____________
(Use separate sheet if necessary)
                                                                ISADORA A.LATIADA
                                                          Employee’s Signature over Printed Name
Witnesses: _________________________                  _____________________________
Grade Level Head/Year Level Coordinator:      _____________________________
__________________________________________________________________________________
___
Action Taken:
__________________________________________________________________________________
___
             Attested to employee’s                           1st / 2nd time within the
             presence in the office on                        semester excused
             the said date/time
                                                              ____ times within this
             Reason cited found valid                         semester and subject to
                                                    Action taken: ___________________________
             Reason cited not valid
Recommending Approval:                             Approved by:
AZENITH R. ANDREE                                 JOBERTH A. SABANAL
Teacher I                                         School Head
Elementary: School head                           Elementary: District Supervisor
Secondary : Department Head                       Secondary : School Head
Division Office : Section Chief                   Division Office: A.O/ASDS/SDS
Notary public: