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Unit 306, 3rd

National Hi
City

LEAVE FORM

NAME:

ID NO:

NO. OF PREVIOUS LEAVES: _________________ (REASON:__________________________)

NO. OF PREVIOUS AWOL: _________________ (REASON:__________________________)

DATE OF AVAILMENT:

REASON:

□ with medical certificate □ without medical certificate

REMARKS: _______________________________________________________________

TYPE OF LEAVE

□ Sick Leave □ Emergency Leave □ Maternity Leave

□ With pay □ Without pay

Employee's Signature: ___________________________

□ Approved

□ Disapproved

On-Site Supervisor

Unit 306, 3rd


National Hi
City

LEAVE FORM

NAME: ____________________________________

ID NO: ___________________________

NO. OF PREVIOUS LEAVES: _________________ (REASON:__________________________)


NO. OF PREVIOUS AWOL: _________________ (REASON:__________________________)

DATE OF AVAILMENT: ___________________________

REASON: ______________________________________________________

□ with medical certificate □ without medical certificate

REMARKS: ____________________________________________________________

TYPE OF LEAVE

□ Sick Leave □ Emergency Leave □ Maternity Leave

Employee's Signature: ___________________________

□ With pay □ Without pay

□ Approved

□ Disapproved

On-Site Supervisor
Unit 306, 3rd Floor Miranda Plaza Building
National Highway, Brgy. San Vicente
City of Biñan, Laguna

EAVE FORM

DATE FILED:

SSS NO.:

(REASON:__________________________)

(REASON:__________________________)

NO. OF DAYS: ______________

LEAVE CREDITS

Period:
SL

VL

□ Paternity Leave

□ Approved

□ Disapproved

Authorized Signatory

Unit 306, 3rd Floor Miranda Plaza Building


National Highway, Brgy. San Vicente
City of Biñan, Laguna

EAVE FORM

DATE FILED: ______________

SSS NO.: ______________

(REASON:__________________________)
(REASON:__________________________)

NO. OF DAYS: ______________

LEAVE CREDITS

Period:
SL

VL

□ Paternity Leave

□ Approved

□ Disapproved

Authorized Signatory