OUR LADY OF PIAT HIGH SCHOOL

Piat, Cagayan
Since 1951

LEAVE REQUEST FORM

Date: ____________________________________

Employee Name: _________________________________________________________

Designation: _____________________________________

Department: ____________________________

Vacation Dates Requested: ______________________________________________

Returning: ________________________________

Total Number of Days Requested: _____________________________________

____________________________________________
Employee’s Signature

Approval:

ERNESTINA P. AQUINO, Ph.D. Date: ______________________________

School Principal

REV. FR. SAMUEL S. BACULI, S.T.L. Date: ______________________________

School Director

(Please submit this form for approval at least four weeks in advance of your preferred vacation dates.)
 OUR LADY OF PIAT HIGH SCHOOL
Piat, Cagayan
Since 1951

LEAVE REQUEST FORM

Date: September 21, 2018

Employee Name: Rostiff Franzlyn P. Siringan

Designation: School Cashier

Department: Finance Department

Vacation Dates Requested: November 23, 26-27, 2018

Returning: November 28, 2018

Total Number of Days Requested: Three (3) Days

____________________________________________
Employee’s Signature

Approval:

ERNESTINA P. AQUINO, Ph.D. Date: ______________________________

School Principal

REV. FR. SAMUEL S. BACULI, S.T.L. Date: ______________________________

School Director

(Please submit this form for approval at least four weeks in advance of your preferred vacation dates.)