Civil Service Form No. 48                                                    Civil Service Form No.
48
                DAILY TIME RECORD                                                            DAILY TIME RECORD
                               -----o0o-----                                                                -----o0o-----
                                 (Name)                                                                       (Name)
 For the month of                                                             For the month of
    Official hours for           Regular days                                    Official hours for           Regular days
  arrival and departure            Saturdays                                   arrival and departure            Saturdays
                A.M.                     P.M.               Undertime                        A.M.                     P.M.               Undertime
 Day                  Depar-                   Depar-                 Min-    Day                  Depar-                   Depar-                 Min-
          Arrival                  Arrival                 Hours                       Arrival                  Arrival                 Hours
                       ture                     ture                  utes                          ture                     ture                  utes
  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
                                                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
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 arrival and departure from office.                                        of arrival and departure from office.
VERIFIED as to the prescribed office hours:                                  VERIFIED as to the prescribed office hours:
               Head of Office/Immediate Head                                                Head of Office/Immediate Head