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LEAVE FORM

NAME Winley L. Borbon DATE FILED 20-Dec-18

ID NUMBER TVM-0145 STATUS Probationary

DEPARTMENT IBSG-VisMin

12-Dec-18
NO. OF DAYS 0 INCLUSIVE DATES
If half day: [ x] AM [ ] PM

REASON/S Severe Headache Due to Dehydration

[ ] Vacation Leave [X] Sick Leave [ ] Bereavement Leave


CLASSIFICATION OF LEAVE

[ ] Maternity Leave [ ] Paternity Leave [ x] Leave without pay

Leave Credits 0

LEAVE CREDITS Less: This Application 0

Balance (As of this date) 0

NOTED BY CHECKED BY
JOEZEP ELLANO

APPROVED BY EMPLOYEE'S SIGNATURE


JOEZEP ELLANO