Name: Position:

Date Filed: Date of OB:

OFFICIAL BUSINESS FORM

ITENERARY / DESTINATION TIME OF

Purpose (s)
From To Departure Return

NOTE: Employees leaving the Company premise shall be required at all times to accomplish this OFFICIAL BUSINESS FORM before departure.
Approved by: Verified by: Noted by:
Accomplished forms without the signature of authorize official shall be considered invalidated and thereby departure may be classified as
UNAUTHORIZED.
Employee’s Signature Dept. Head Human Resource Dept. Gen. Manager
EXIT CLEARANCE
Residence / Office Destination Signature of Security Guard / HR

Date / Time of Actual Departure ____________________ ______________________ ___________________________

Date / Time of Actual Arrival ____________________ ______________________ ___________________________