C.S. FORM 48 C.S.

FORM 48

DAILY TIME RECORD DAILY TIME RECORD

______________________________________ ______________________________________
Name Name

For the Month of ________________________, 20____ For the Month of ________________________, 20____
Official Hour (Reg.) AM PM Official Hour (Reg.) AM PM
For Arrival: _____________ _____________ For Arrival: _____________ _____________
p _____________ _____________ For Departure: _____________ _____________
Saturday: _______________________________ Saturday: _______________________________

Date Arrival Departure Arrival Departure Undertime Date Arrival Departure Arrival Departure Undertime
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

I certify on my honor that the above is true and I certify on my honor that the above is true and
correct of hour or work performed the time of arrival at and correct of hour or work performed the time of arrival at and
departure from office. departure from office.

____________________________________ ____________________________________
Signature Signature

VERIFIED as to prescribed office hour VERIFIED as to prescribed office hour

ARNALDO M. BIONAT ARNALDO M. BIONAT

Principal III Principal III