Republic of the Philippines Republic of the Philippines

REGIONAL TRIAL COURT REGIONAL TRIAL COURT

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11 JUDICIAL REGION 11 JUDICIAL REGION
Branch 9 Branch 9
Davao City Davao City

CIVIL SERVICE FORM NO. 48 CIVIL SERVICE FORM NO. 48

DAILY TIME RECORD DAILY TIME RECORD

Name: Name:
For the month of: June2017 For the month of: June2017
Office Hours Arrival Regular Days Office Hours Arrival Regular Days

Arrival Departure Arrival Departure Hrs Mins Arrival Departure Arrival Departure Hrs Mins
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

I certify to my honor that the above is true and I certify to my honor that the above is true and
correct on the hours of work performed and record of which correct on the hours of work performed and record of which
was made daily of the time of arrival and departure from was made daily of the time of arrival and departure from
office. office.

_________________________________ _________________________________
Signature Signature

Verified as prescribed Office Hours Verified as prescribed Office Hours

ANNIE MAY BRAGA-LEUTERIO ANNIE MAY BRAGA-LEUTERIO

Clerk of Court V Clerk of Court V

CARLOS L. ESPERO II CARLOS L. ESPERO II

Presiding Judge Presiding Judge

1.No. of times absent ____________ 1.No. of times absent ___________

2.Dates Absent ____________ 2.Dates Absent ___________
3.Dates U/T/Tardy ____________ 3.Dates U/T/Tardy ___________
4.Total Hours UT/T _______________________ 4.Total Hours UT/T _______________________
5.Vac/L: N/A S/L: N/A w/o pay: N/A 5.Vac/L: N/A S/L: N/A w/o pay: N/A
6.