Daily Time Record Daily Time Record

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DAILY TIME RECORD DAILY TIME RECORD

m m
(Name) (Name)

For the month of __ ___201__8___ For the month of __ _________________201__8___


Official hours for Arrival:Regular days _____________ Official hours for Arrival:Regular days _____________
And Departure________________Sat._____________ And Departure________________Sat._____________
D AM PM UNDERTME D AM PM UNDERTME
A Arri Depar Arri Depar Hours Mins A Arri Depar Arri Depar Hours Mins
Y val ture val ture Y val ture val ture
1 1
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TOTAL TOTAL
I certify on my honor the above is true and correct report of I certify on my honor the above is true and correct report of
the hours of work performed record of which was made the hours of work performed record of which was made daily
daily at time of arrival and departure from office. at time of arrival and departure from office.

_____________________________________________ ____________________________________________________
VERIFIED as to the prescribed office hours VERIFIED as to the prescribed office hours

In Charge In Charge

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