23

24
25
CIVIL SERVICE FORM No. 48

26

DAILY TIME RECORD

27
28
29

(Name)
For the month of
Official hours of arrival
and departure
Da
y

(Regular days
(Saturdays

A.M.
Arrival

Departu
re

30

P.M.
Arrival

Departu
re

.
.
UNDERTI
ME
Hours Minutes

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 time of arrival at and departure from office.

1
2
3

Verified as to the prescribed office hours.

4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

In charge