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LEAVE FORM

Original Copy - SIC


Name: Mhelzee Kedeck A. Salom Date: FEB 22, 2021
Position: DBA -Trainee
Department: NOC

I wish to apply for a [x] Vacation / [ ] Sick / [] Emergency leave of absence


for: 9 day(s) Feb 22 - Mar 4, 2020

Reason: Home quarantine

Mhelzee Kedeck A. Salom


Signature over Printed Name

Approved by: Cris Igay Noted by: Laura M. Gozon


Division / Department Head Chief Manager-HR / Administration

VL Credits SL Credits
Used VL Used SL
Available Credits Available Credits
Applied VL Applied SL
Balance Balance
To be classified by HR: [ ] With Pay [ ] Without Pay

Distribution: Original – SIC; Duplicate – HR/Admin

LEAVE FORM

Duplicate Copy - HR/Admin Dept.


Name: Mhelzee Kedeck A. Salom Date: FEB 22, 2021
Position: DBA -Trainee
Department: NOC

I wish to apply for a [x] Vacation / [ ] Sick / [] Emergency leave of absence


for: 9 day(s) Feb 22 - Mar 4, 2020

Reason: Home quarantine

Mhelzee Kedeck A. Salom


Signature over Printed Name

Approved by: Cris Igay Noted by: Laura M. Gozon


Division / Department Head Chief Manager-HR / Administration

VL Credits SL Credits
Used VL Used SL
Available Credits Available Credits
Applied VL Applied SL
Balance Balance
To be classified by HR: [ ] With Pay [ ] Without Pay
LEAVE FORM

Original Copy - SIC


Name: Jessie De Guzman Date: 7-Sep-15
Position: Messenger
Department: HR/Adm Dept.

I wish to apply for a [ ] Vacation / [x ] Sick / [ ] Emergency leave of absence


for 3 day from September 2-4, 2015.

Reason: SORE EYES

Jessie de Guzman
Signature over Printed Name

Approved by: Laura Gozon Noted by: Laura Gozon


Division / Department Head Chief - Manager HR / Administration

(To be filled-up by HR / Admin. Department)


VL Credits SL Credits
Used VL Used SL
Available Credits Available Credits
Applied VL Applied SL
Balance Balance
To be classified by HR: [ ] With Pay [ ] Without Pay

Distribution: Original – SIC; Duplicate – HR/Admin

LEAVE FORM

Original Copy - SIC


Name: Jessie De Guzman Date: 7-Sep-15
Position: Messenger
Department: HR/Adm Dept.

I wish to apply for a [ X ] Vacation / [ ] Sick / [ ] Emergency leave of absence


for 3 day from September 2-4, 2015.

Reason: SORE EYES

Jessie de Guzman

Approved by: Laura Gozon Noted by: Laura Gozon


Division / Department Head Chief - Manager HR / Administration

(To be filled-up by HR / Admin. Department)


VL Credits SL Credits
Used VL Used SL
Available Credits Available Credits
Applied VL Applied SL
Balance Balance
To be classified by HR: [ ] With Pay [ ] Without Pay

Distribution: Original – SIC; Duplicate – HR/Admin

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