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CS Form No. 48

DAILY TIME RECORD

CS Form No. 48

NAME: ______________________________________ TIN: __________________________________ For The month of ____________________ Official hour of arrival and departure: AM 7:15 – 11:45 PM 1:15 – 4:45 Saturday: as required

AM

DA Y Arrival

Departure

PM Arrival

UNDERTI ME Hrs./Min utes

Departure

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

DAILY TIME RECORD NAME: ______________________________________ TIN: __________________________________ For The month of ____________________ Official hour of arrival and departure: AM 7:15 – 11:45 PM 1:15 – 4:45 Saturday: as required

AM

DA Y Arrival

Total: _______ days

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

Departure

PM Arrival

UNDERTI ME Hrs./Min utes

Departure

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: _______ days

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

VICTORIA C. LARIOSA, JRA. School Head

VICTORIA C. LARIOSA, JRA. School Head

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