Republic of the Philippines

Republic of the Philippines

PROVINCE OF RIZAL
CITY OF ANTIPOLO
OFFICE OF PUBLIC SAFETY AND SECURITY
M.L. Quezon Street, Brgy. San Roque
Antipolo City 1870
DAILY TIME RECORD
CIVIL SERVICE FORM NO. 48

Name: ___________________________________________
For The Month of:
_________________________________
Official Hours for Arrival
Reg. Days:
___________
And Departure
Sun &
Holidays: ______
Da
y
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

A.M.
IN
OUT

P.M.
IN
OUT

UNDERTIME
HRS
MIN

TOTAL
I CERTIFY on my honor that the above is true
and correct report of hours of works performed record of
which was made daily at the time of arrival and
departure from the office.

PROVINCE OF RIZAL
CITY OF ANTIPOLO
OFFICE OF PUBLIC SAFETY AND SECURITY
M.L. Quezon Street, Brgy. San Roque
Antipolo City 1870
DAILY TIME RECORD
CIVIL SERVICE FORM NO. 48

Name: ___________________________________________
For the Month of:
_________________________________
Official Hours for Arrival
Reg. Days:
___________
And Departure
Sun &
Holidays: ______
Da
y
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

IN

A.M.
OUT

IN

P.M.
OUT

UNDERTIME
HRS
MIN

TOTAL
I CERTIFY on my honor that the above is true
and correct report of hours of works performed record of
which was made daily at the time of arrival and
departure from the office.

(SIGNATURE)
(SIGNATURE)
Verified as to the prescribed office hours
Verified as to the prescribed office hours

PSSupt. Wenceslao S. Ornido (Ret.)

OPSS, Department Head

PSSupt. Wenceslao S. Ornido (Ret.)

OPSS, Department Head