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Individual Pass Slip

Field Officer’s Locator Slip


(Please Check)

___________, 2018
(Date)
CRISTINA R. ARGENTE
(Printed Name of Employee over Signature)

Leave the office premises

During office hours from:


Intended time of departure: _________________
Intended time of arrival: ____________________

Deviate from fixed time of Arrival


From: __________ To: __________

Reason for Deviation: ______________________________________________________________


______________________________________________________________

Purpose: Official Personal

Purpose: ________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Approved by: RD LINA K. BURDEOS


(Head of Office)

Actual Time of Departure: ______________


Actual Time of Arrival: ________________

CERTIFICATE OF APPEARANCE
(For Official Transaction)
TO WHOM IT MAY CONCERN:
This is to certify that Mr. / Ms. CRISTINA R. ARGENTE of the _________________________
appeared / transacted on this ________________________________________ with the following:
(Date)
Name of Contact Person Agency and Address Purpose Signature

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