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Commission on Diocesan Schools of La Union

San Alberto Magno Academy &


Saint Isidore School
Poblacion, Tubao, La Union, Philippines
School ID: 400125 (DedEd) / 010009 (ESC)
Sanalbertomagnoacademy@gmail.com
Tel. No. (072) 889 6598

REQUEST FOR LEAVE


NAME OF EMPLOYEE: ___________________________________________
DATE FILED: _______________________________________________
DEPARTMENT: ___________________ POSITION: __________________
CONTRACT STATUS: ______________________________
Please Check:
( ) Sick Leave ( ) Vacation Leave ( ) SSS Sick Leave
( ) Maternity/Paternity ( ) LWOP
DATE/S OF LEAVE: _____________________________________

Personal Leave – Please explain reason:


_______________________________________________________________
_______________________________________________________________

____________________________________
Signature of Employee over printed name

Approved by:
________________________________
Signature of Principal over printed name
Commission on Diocesan Schools of La Union
San Alberto Magno Academy &
Saint Isidore School
Poblacion, Tubao, La Union, Philippines
School ID: 400125 (DedEd) / 010009 (ESC)
Sanalbertomagnoacademy@gmail.com
Tel. No. (072) 889 6598

REQUEST FOR LEAVE


NAME OF EMPLOYEE: ___________________________________________
DATE FILED: _______________________________________________
DEPARTMENT: ___________________ POSITION: __________________
CONTRACT STATUS: ______________________________
Please Check:
( ) Sick Leave ( ) Vacation Leave ( ) SSS Sick Leave
( ) Maternity/Paternity ( ) LWOP
DATE/S OF LEAVE: _____________________________________

Personal Leave – Please explain reason:


_______________________________________________________________
_______________________________________________________________

____________________________________
Signature of Employee over printed name

Approved by:
________________________________
Signature of Principal over printed name

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