DMCI POWER CORPORATION LEAVE APPLICATION FORM —SDRTE RECEIVED AT RR DENEL ‘CHAVEZ FIRST NAME MIDDLE NAME Plant Manager. EMPLOYEE NO. [Cecanontene FE ppexuve op remunanenir [ooJmonrcanta Ee Joto parent pave oay 50 indicate inclusive time. Feb. 28, 2014 ‘only. From’ To From To INCLUSIVE DATES Work Schedule No. of Hours REASON OF LEAVE Vacation at Baguio City with family. RELIEVER'S NAME & SIGNATURE EMPLOYEE'S SIGNATURE DETAILS OF ACTION ON APPLICATION, [RECOMMENDATION : (please check) "RECOMMENDATION FROM MEDICAL UNIT FOR SICK LEAVE APPLICATION ONLY: J Disaporvat ue to [sicincss Notation Received by: Plant Nurse Namo & Signature DEPARTMENT MANAGER DRA. CYNTHIA C, BISCOCHO. Name/Signature Retainer Physician [APPROVED FOR: ‘DISAPPROVED DUE TO: days with pay 7 days without pay he NESTOR D. DADIVAS President, DMCI Power Copy yy Name/Signature : “FOR HUMAN RESOURCE MONITORING [CERTIFICATION OF LEAVE BALANCES For VACATION LEAVE application - shalt be fledisubmitied to Department Manager five (5) days in advance. For SICK LEAVE application - employee must notify is Dept. Manager and Retainer Physician for histher sickness and file application immediately upon report to office. "ANNALIE P. MEDRANO HR Specialist