LEPANTO CONSOLIDATED MINING COMPANY FRM-HRD-119

Rev 0: 05-10
LEPANTO MINE DIVISION
Lepanto, Benguet

Date: _____________

MEMO TO: Human Resource Department

F R O M : ____________________
SUBJECT : EXTENSION OF LEAVE OF ABSENCE

Employee ______________________, __________ with approved leave from

______________ to _______________ has been granted an extension of leave effective from
______________ or a total of ___________.

__________________________
DEPARTMENT HEAD

LEPANTO CONSOLIDATED MINING COMPANY

LEPANTO MINE DIVISION
Lepanto, Benguet

Date: _____________

MEMO TO: Human Resource Department

F R O M : ____________________
SUBJECT : EXTENSION OF LEAVE OF ABSENCE

Employee ______________________, __________ with approved leave from

______________ to _______________ has been granted an extension of leave effective from
______________ or a total of ___________.

__________________________
DEPARTMENT HEAD