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Date Arrival Departure Arrival Departure Remarks Date Arrival Departure Arrival Departure Remarks
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Total Number of Days Present Total Number of Days Present
I CERTIFY on my honor that the above is a true and correct report of 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 hours of work performed. Record of which was made daily at
the time of arrival at and departure from office. the time of arrival at and departure from office.