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REQUEST FOR LEAVE

Today’s Date __________________________ Date of leave ____________________


Reason ______________________________________________________
Requested by _________________________________________________
Signed (Jovelie Juarez) ________________________
Signed (Henry Floreno) ________________________
Signed (Samuel Orville Jim Bulahan) ________________________

REQUEST FOR LEAVE

Today’s Date __________________________ Date of leave ____________________


Reason ______________________________________________________
Requested by _________________________________________________
Signed (Jovelie Juarez) ________________________
Signed (Henry Floreno) ________________________
Signed (Samuel Orville Jim Bulahan) ________________________

REQUEST FOR LEAVE

Today’s Date __________________________ Date of leave ____________________


Reason ______________________________________________________
Requested by _________________________________________________
Signed (Jovelie Juarez) ________________________
Signed (Henry Floreno) ________________________
Signed (Samuel Orville Jim Bulahan) ________________________

REQUEST FOR LEAVE

Today’s Date __________________________ Date of leave ____________________


Reason ______________________________________________________
Requested by _________________________________________________
Signed (Jovelie Juarez) ________________________
Signed (Henry Floreno) ________________________
Signed (Samuel Orville Jim Bulahan) ________________________

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