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EMPLOYEE’S LEAVE CARD

NAME: _____________________________________ District/School: _____________________________


_____________________________________ FIRST DAY OF SERVICE: _______________________

VACATION LEAVE SICK LEAVE DATE AND


PERIOD PARTICULAR EARNED ABS/UND ABS/UND BAL. EARNED ABS/UND ABS/UND BAL. ACTION ON APPL
W/P WOP W/P WOP FOR LEAVE

PREPARED AND COMPUTED BY: VERIFIED AND CHECKED BY:

BANGON R. MATUAN OMAR P. MACASUNDIG MOHAMADALI M. BASHER


Processor for Leave & Retirement ADA-IV, Leave Officer Administrative Officer-V

APPROVED:

SAHANEE MACARAMPAT- SUMAGAYAN, PhD


Schools Division Superintendent

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