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

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

(Name) (Name) (Name) (Name)

For the month of _____________________________________________ For the month of ______________________________________________ For the month of ______________________________________________ For the month of ______________________________________________
Official hours of arrival (Regular Days _________________________ Official hours of arrival (Regular Days __________________________ Official hours of arrival (Regular Days __________________________ Official hours of arrival (Regular Days __________________________
and departure (Saturdays ________________________ and departure (Saturdays ________________________ and departure (Saturdays ________________________ and departure (Saturdays ________________________

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 Minutes Day Arrival Depar- Arrival Depar- Hours Minutes Day Arrival Depar- Arrival Depar- Hours Minutes Day Arrival Depar- Arrival Depar- Hours Minutes
ture ture ture ture ture ture ture ture
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 report of the I CERTIFY on my honor that the above is a true and correct report of the I CERTIFY on my honor that the above is a true and correct report of the 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 arrival hours of work performed, record of which was made daily at the arrival hours of work performed, record of which was made daily at the arrival hours of work performed, record of which was made daily at the arrival
at the departure from office. at the departure from office. at the departure from office. at the departure from office.

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 hours.

MA. LEA O. DAIS MA. LEA O. DAIS MA. LEA O. DAIS MA. LEA O. DAIS