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Republic of the Philippines

Province of _________________
Municipality of _________________
_________________

December 14, 2022

Hon. _______________________
Municipal _____________

Dear _____________:

Greetings in the name of Jesus!

We are respectfully requesting this honorable office to grant extension of the


Work From Home scheme for ___________________________ from December 14
to December 31, 2022.12.14.

We are looking forward to your most considerate approval on this matter.

Thank you for your kind approval on this request.

Respectfully yours,

_____________________________
_____________________________

Noted by:

_____________________________
_____________________________

Approved
Disapproved

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