Republic of the Philippines Republic of the Philippines

MUNICIPALITY OF MOGPOG MUNICIPALITY OF MOGPOG

Marinduque Marinduque
*** ***
Civil Service Form No. 49 Civil Service Form No. 49

DAILY TIME RECORD DAILY TIME RECORD

______________________________ ______________________________
Name Name

Year:______________________ Month:________________ Year:______________________ Month:________________

MORNING AFTERNOON OVER/UNDER MORNING AFTERNOON OVER/UNDER

DATE TIME DATE TIME
IN OUT IN OUT (HOUR/MIN) IN OUT IN OUT (HOUR/MIN)
01 01
02 02
03 03
04 04
05 05
06 06
07 07
08 08
09 09
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
I certify on my honor that the above is a true and correct report of the hours of work 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 of arrival and departure from performed, record of which was made daily at the time of arrival and departure from
office. office.

___________________________________________ ___________________________________________
Signature Signature

Verified as to the prescribed office hours Verified as to the prescribed office hours

____________________________________________ ____________________________________________
In Charge In Charge
(Department Head for Rank-and-file and Municipal Mayor for Department Head) (Department Head for Rank-and-file and Municipal Mayor for Department Head)