CS Form No.

48

DAILY TIME RECORD CS Form No. 48

NAME: ______________________________________ DAILY TIME RECORD

TIN: __________________________________
For The month of ____________________ NAME: ______________________________________
Official hour of arrival and departure: TIN: __________________________________
AM 7:15 – 11:45 PM 1:15 – 4:45 Saturday: as required For The month of ____________________
Official hour of arrival and departure:
UNDERTI AM 7:15 – 11:45 PM 1:15 – 4:45 Saturday: as required
ME
DA AM PM Hrs./Min
Y UNDERTI
utes ME
Arrival Departure Arrival Departure DA AM PM Hrs./Min
1 Y utes
2 Arrival Departure Arrival Departure
3 1
4 2
5 3
6 4
7 5
8 6
9 7
10 8
11 9
12 10
13 11
14 12
15 13
16 14
17 15
18 16
19 17
20 18
21 19
22 20
23 21
24 22
25 23
26 24
27 25
28 26
29 27
30 28
31 29
Total: _______ days 30
31
I hereby certify on my honor that the above is a true and Total: _______ days
correct report of the hours of the work performed, which has
made daily at the time of arrival and departure from this office. I hereby certify on my honor that the above is a true and
correct report of the hours of the work performed, which has
________________________________ made daily at the time of arrival and departure from this office.
SIGNATURE
________________________________
VERIFIED AS TO THE PRESCRIBED OFFICE HOURS SIGNATURE

VERIFIED AS TO THE PRESCRIBED OFFICE HOURS

VICTORIA C. LARIOSA, JRA.

School Head
VICTORIA C. LARIOSA, JRA.
School Head