Civil Service Form No. 48 Civil Service Form No.

48

DAILY TIME RECORD DAILY TIME RECORD

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(Name) (Name)

For the month of ______________ For the month of

Official hours for arrival Regular days Official hours for arrival Regular days
and departure Saturdays and departure Saturdays

A.M. P.M. Undertime

Day
Arrival Departure Arrival Departure Hours Minutes
1
2
3
4
5
6
7
8
9
1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
2
2
2
3
2
 A.M. P.M. Undertime
Day Depar- Min-
Arrival Departure Arrival Hours
ture utes
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
Total

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 I certify on my honor that the above is a true and correct report of
time of arrival and departure from office. the hours of work performed, record of which was made daily at the
time of arrival and departure from office.

VERIFIED as to the prescribed office hours: VERIFIED as to the prescribed office hours:

In Charge In Charge