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NATIONAL FOOD AUTHORITY

Quezon City
APPLICATION FOR LEAVE OF ABSENCE
NAME: LAST FIRST M.I. POSITION: EMPLOYMENT STATUS:
RUBIO JAIRUS B ATTORNEY III PERMANENT
ETD: SALARY: DATE OF FILLING: June 2, 2017
A. TYPE OF LEAVE/PURPOSE: b. DURATION: May/20/2017
VACATION No. Of Days One (1) day
To seek employment c. COMMUTATION:
Others Requested
Within the Philippines Not Requested
Abroad
SICK
In Hospital
Out Patient ATTY. JAIRUS B. RUBIO
Signature
a. CERTIFICATION OF LEAVE CREDITS b RECOMMENDATION
As of Approved
VACATION: SICK: Disapproved

MARIA NERISSA M. PUNZALAN ATTY. BOBBY N. QUINTIN


Personnel Officer Division Chief, LAD-Adjudication
a. APPROVED FOR: b DISAPPROVED DUE TO:
Days with full pay
Days with out pay
Others
ATTY. MA. THERESA S. VILLAFUERTE, CPA
Director, LAD
ATTACHMENTS: ( ) Medical Certificate ( ) Clearance ( ) Marriage Certificate