Republic of the Philippines

Department of Education

REGION XII

SAMPLE SCHOOLS DIVISION

Civil Service Form No. 48

DAILY TIME RECORD

JUAN SANTOS DELA CRUZ

NAME

School/ District: SAMPLE INTEGRATED SCHOOL
School ID: 103407
Employee No. 2026-001 Div/ Stn. Code: SAMPLE-01
For the Month of: OCTOBER 2026
Official Hours [REGULAR]: 07:30 AM - 12:00 PM
For Arrival & Departure (Days): 01:00 PM - 05:00 PM
Saturdays (As required): 07:30 AM - 12:00 PM / 01:00 PM - 05:00 PM
DAY AM PM DAY U/T HM
Arrival Departure Arrival Departure
1 07:28 12:01 12:58 05:03 THU
2 07:28 12:01 12:58 05:03 FRI
3 Services as required SAT
4 Services not required SUN
5 07:28 12:01 12:58 05:03 MON
6 07:28 12:01 12:58 05:03 TUE
7 07:28 12:01 12:58 05:03 WED
8 07:28 12:01 12:58 05:03 THU
9 07:28 12:01 12:58 05:03 FRI
10 Services as required SAT
11 Services not required SUN
12 07:28 12:01 12:58 05:03 MON
13 07:28 12:01 12:58 05:03 TUE
14 07:28 12:01 12:58 05:03 WED
15 07:28 12:01 12:58 05:03 THU
16 07:28 12:01 12:58 05:03 FRI
17 Services as required SAT
18 Services not required SUN
19 07:28 12:01 12:58 05:03 MON
20 07:28 12:01 12:58 05:03 TUE
21 SAMPLE HOLIDAY WED
22 07:28 12:01 12:58 05:03 THU
23 07:28 12:01 12:58 05:03 FRI
24 Services as required SAT
25 Services not required SUN
26 07:28 12:01 12:58 05:03 MON
27 07:28 12:01 12:58 05:03 TUE
28 07:28 12:01 12:58 05:03 WED
29 07:28 12:01 12:58 05:03 THU
30 07:28 12:01 12:58 05:03 FRI
31 Services as required SAT
TOTAL
I CERTIFY TO MY HONOR THAT THE ABOVE IS TRUE AND CORRECT REPORT OF THE HOURS WORK PERFORMED RECORD OF WHICH WAS MADE DAILY AT THE TIME AND DEPARTURE FROM OFFICE.
Employee's Signature
Verified as to the prescribed office hours:
PEDRO R. SANTOS
SCHOOL PRINCIPAL

Republic of the Philippines

Department of Education

REGION XII

SAMPLE SCHOOLS DIVISION

Civil Service Form No. 48

DAILY TIME RECORD

JUAN SANTOS DELA CRUZ

NAME

School/ District: SAMPLE INTEGRATED SCHOOL
School ID: 103407
Employee No. 2026-001 Div/ Stn. Code: SAMPLE-01
For the Month of: OCTOBER 2026
Official Hours [REGULAR]: 07:30 AM - 12:00 PM
For Arrival & Departure (Days): 01:00 PM - 05:00 PM
Saturdays (As required): 07:30 AM - 12:00 PM / 01:00 PM - 05:00 PM
DAY AM PM DAY U/T HM
Arrival Departure Arrival Departure
1 07:28 12:01 12:58 05:03 THU
2 07:28 12:01 12:58 05:03 FRI
3 Services as required SAT
4 Services not required SUN
5 07:28 12:01 12:58 05:03 MON
6 07:28 12:01 12:58 05:03 TUE
7 07:28 12:01 12:58 05:03 WED
8 07:28 12:01 12:58 05:03 THU
9 07:28 12:01 12:58 05:03 FRI
10 Services as required SAT
11 Services not required SUN
12 07:28 12:01 12:58 05:03 MON
13 07:28 12:01 12:58 05:03 TUE
14 07:28 12:01 12:58 05:03 WED
15 07:28 12:01 12:58 05:03 THU
16 07:28 12:01 12:58 05:03 FRI
17 Services as required SAT
18 Services not required SUN
19 07:28 12:01 12:58 05:03 MON
20 07:28 12:01 12:58 05:03 TUE
21 SAMPLE HOLIDAY WED
22 07:28 12:01 12:58 05:03 THU
23 07:28 12:01 12:58 05:03 FRI
24 Services as required SAT
25 Services not required SUN
26 07:28 12:01 12:58 05:03 MON
27 07:28 12:01 12:58 05:03 TUE
28 07:28 12:01 12:58 05:03 WED
29 07:28 12:01 12:58 05:03 THU
30 07:28 12:01 12:58 05:03 FRI
31 Services as required SAT
TOTAL
I CERTIFY TO MY HONOR THAT THE ABOVE IS TRUE AND CORRECT REPORT OF THE HOURS WORK PERFORMED RECORD OF WHICH WAS MADE DAILY AT THE TIME AND DEPARTURE FROM OFFICE.
Employee's Signature
Verified as to the prescribed office hours:
PEDRO R. SANTOS
SCHOOL PRINCIPAL