I hereby certify on my honor that the above is I hereby certify on my honor that the above is a

a true
CSC FORM and correct
48 record of my work performed, trueFORM
CSC and correct
48 record of my work performed,
record of which was made daily at the time of record of which was made daily at the time of arrival
arrival and departure from office. and departure from office.
DAILY TIME RECORD DAILY TIME RECORD

RICHARD A. CORTEZ RICHARD A. CORTEZ

NAME NAME
For the Month of JUNE 20 21 For the Month of JUNE 20 21
Office hour of Arrival (Reg. Days) 07:30-11:30 Office hour of Arrival (Reg. Days) 07:30-11:30
and (Departure(Sat.) 12:30-04:30 and (Departure(Sat.) 12:30-04:30

A.M. P.M. UNDER A.M. P.M. UNDER

DAYS DAYS
Arrive Dept. Arrive. Dept TIME Arrive Dept. Arrive. Dept TIME
1 WFH 1 WFH
2 7:36 11:30 12:30 4:30 6 MIN 2 7:36 11:30 12:30 4:30 6 MIN
3 7:35 11:30 12:30 4:30 5 MIN 3 7:35 11:30 12:30 4:30 5 MIN
4 7:30 11:30 12:30 4:30 4 7:30 11:30 12:30 4:30
5 SATURDAY 5 SATURDAY
6 SUNDAY 6 SUNDAY
7 WFH 7 WFH
8 WFH 8 WFH
9 7:30 11:30 12:30 4:30 9 7:30 11:30 12:30 4:30
10 7:30 11:30 12:30 4:30 10 7:30 11:30 12:30 4:30
11 7:35 11:30 12:30 4:30 5 MIN 11 7:35 11:30 12:30 4:30 5 MIN
12 SATURDAY 12 SATURDAY
13 SUNDAY 13 SUNDAY
14 WFH 14 WFH
15 WFH 15 WFH
16 7:30 11:30 12:30 4:30 16 7:30 11:30 12:30 4:30
17 7:38 11:30 12:30 4:30 8 MIN 17 7:38 11:30 12:30 4:30 8 MIN
18 SICK LEAVE CHARGE TO SERVICE CREDIT 18 SICK LEAVE CHARGE TO SERVICE CREDIT
19 SATURDAY 19 SATURDAY
20 SUNDAY 20 SUNDAY
21 WFH 21 WFH
22 WFH 22 WFH
23 7:29 11:30 12:20 4:40 23 7:29 11:30 12:20 4:40
24 7:30 11:30 12:30 4:30 24 7:30 11:30 12:30 4:30
25 7:34 11:30 12:30 4:30 4 MIN 25 7:34 11:30 12:30 4:30 4 MIN
26 SATURDAY 26 SATURDAY
27 SUNDAY 27 SUNDAY
28 WFH 28 WFH
29 WFH 29 WFH
30 7:32 11:40 12:20 4:40 2 MIN 30 7:32 11:40 12:20 4:40 2 MIN
31 31
Total Total
1 DAY SICK LEAVE; 30 MINS TARDY 1 DAY SICK LEAVE; 30 MINS TARDY
I hereby certify on my honor that the above is a true and correct I hereby certify on my honor that the above is a true and correct
record of my work performed, record of which was made daily at record of my work performed, record of which was made daily at
the time of arrival and departure from office. the time of arrival and departure from office.

Verified as to prescribed office hour Verified as to prescribed office hour

LOURDES B. MESA LOURDES B. MESA

Principal III Principal III

Note: Submit with complete signature and counter sign of the Department Head Note: Submit with complete signature and counter sign of the Department Head