PASS SLIP PASS SLIP

________________ ________________

Date Date

NAME: ___________________________________ NAME: ___________________________________

Permission is requested to leave the office during office hour. Permission is requested to leave the office during office hour.

( )OFFICIAL ( ) PERSONAL ( ) OFFICIAL ( ) PERSONAL

Destination: _________________________________ Destination: _________________________________

Purpose: Purpose:
____________________________________________ ____________________________________________

____________________________________________ ____________________________________________

____________________. ____________________.

Time of Departure: Time of Departure:

Expected time to back: __________________ Expected time to back: __________________

Actual time of Arrival: ___________________ Actual time of Arrival: ___________________

_____________________ _____________________

Signature of Employee Signature of Employee

Noted: ________________________________ Noted: ________________________________

Head of Office Head of Office