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

Day A.M. P.M. Undertime A.M. P.M. Undertime A.M. P.M. Undertime A.M. P.M. Undertime
Min- Day Min- Day Min- Day Min-
Arrival Depar-ture Arrival Depar-ture Hours Arrival Depar-ture Arrival Depar-ture Hours Arrival Depar-ture Arrival Depar-ture Hours Arrival Depar-ture Arrival Depar-ture Hours
utes utes utes utes

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 time hours of work performed, record of which was made daily at the time of hours of work performed, record of which was made daily at the time of hours of work performed, record of which was made daily at the time of
of arrival and departure from office. arrival and departure from office. arrival and departure from office. arrival and 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:

In Charge In Charge In Charge In Charge