BELLO VALDEZ CALUYA & FERNANDEZ

APPLICATION FOR LEAVE FOR LEGAL STAFF

I. NAME DELA PAZ, CHESKA MHEY D._____ Date Filed ___ 6 December 2022 ______

Leave Applied For: Inclusive Dates Reason:

[ ] Vacation From _13 Dec 2022: Final Examinations
[ ] Sick To ____16 Dec 2022:
[ ] Solo Parent No. of day/s _ 4 days_:
[ ] Maternity/Paternity
___________________________
Signature of Applicant
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II. [ ] Recommending approval [ ] Reschedule/Slot no longer available
_______________________________ _______________________________
_______________________________ _______________________________

_____________________________ Noted By: _______________________________

Admin. Officer Personnel
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III. Number of days applied for: Number of days still entitled
as of date filed:
Vacation ______________________ _________________________
Sick ______________________ _________________________ ____________________
Solo Parent ______________________ _________________________ Record Keeper

[ / ] Corp-Tax [ / ] SL-Coll [ ] Labor [ ] Intellectual poperty

Note: Please submit status report of cases to account partners, if vacation is more than three (3) days.

Remarks if any: Officewide

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IV. For Legal Staff, route to:

EEB _______________ LMM ________________ WPLE ________________

MEV _______________ BGP ________________ CRJ ________________
GFF _______________ VTL ________________
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V. [ ] Approved
[ ] Disapproved
[ ] Deferred _______________________________________
Personnel
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VI. Basis for Record Keeper:
Number of days approved above Vacation ___________________
Balance as of __________________ Sick ___________________
Solo Parent ___________________
REMARKS: ___________________________________________________________________________