Sample DTR

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DAILY TIME RECORD

For __________________________________
DAILY TIME RECORD Subject
For __________________________________
Subject
(Name)

_______________________________________________
(Name) (Section)

_______________________________________________ For the month of


(Section) Semester _________ School Year 20___ - 20 ______
For the month of A.M. P.M. Total Hours
Semester _________ School Year 20___ - 20 ______ Day Time Time Time Time
Hours Minutes
IN Out IN Out
A.M. P.M. Total Hours 1
Day Time Time Time Time
IN Out IN Out
Hours Minutes 2
1 3
2 4
3 5
4 6
5 7
6 8
7 9
8 10
9 11
10 12
11 13
12 14
13 15
14 16
15 17
16 18
17 19
18 20
19 21
20 22
21 23
22 24
23 25
24 26
25 27
26 28
27 29
28 30
29 31
30 Total
31
I certify on my honor that the above is a true and correct report of
Total the hours of work performed, record of which was made daily at the
time of arrival and departure from office.
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 office. Name of Student
VERIFIED as to the prescribed No of Hours:

Name of Student
VERIFIED as to the prescribed No of Hours: Immediate Supervisor/Resource Teacher

Immediate Supervisor/Resource Teacher Subject Professor

Subject Professor

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