(NAME) (NAME)

For the month of ___MARCH_____ For the month of _________________________

Official hours arrival and departure Official hours arrival and departure
A.M P.M UNDERTIME A.M P.M UNDERTIME
Day Day
Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes

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 in my honor that the above is a true and correct report of the I CERTIFY in my honor that the above is a true and correct report of the
hours of worked performed, record of which was made daily at the time of hours of worked performed, record of which was made daily at the time of
arrival and departure from office. arrival and departure from office.

____________________________________ ____________________________________
Employee’s Signature Employee’s Signature

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

_____________________________________ _____________________________________
In Charge In Charge

(NAME)
For the month of _________________________
Official hours arrival and departure
Day A.M P.M UNDERTIME
 TOTAL __________
Arrival Departure Arrival Departure Hours Minutes I CERTIFY in my honor that the above is a true and correct report of the
hours of worked performed, record of which was made daily at the time of
1 arrival and departure from office.

3 ____________________________________
Employee’s Signature
4

5 Verified as to the prescribed office hours.

6
_____________________________________
7
In Charge
8

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31