Maritime Academy of Asia and the Pacific-Kamaya Point

Associated Marine Officers’ and Seamen’s Union of the Philippines-PTGWO-ITF

Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

** LETTER FORMAT FOR COMPASSIONATE LEAVE **

(DD MONTH YYYY)

FOR : DIRECTOR, DEPARTMENT OF MIDSHIPMEN AFFAIRS

FROM : MIDN (RANK) (LAST NAME, FIRST NAME, AND MIDDLE INITIAL)
CC : FLEET PERSONNEL OFFICER
SUBJECT : REQUEST FOR COMPASSIONATE LEAVE

Sir,

1. The undersigned midshipman would like to request from your good office an approval on
the request for Compassionate Leave.

2. (STATE THE ADDITIONAL DETAILS WITH REGARDS TO YOUR RELATION WITH

THE DECEASED FAMILY MEMBER, DATE OF BURIAL & INTERMENT, AND
OTHER SUPPORTING DETAILS FOR THE COMPASSIONATE LEAVE).

3. Attached herewith are:

a. The letter for excuse from classes noted by the instructors concerned and approved
by the Dean of Academics.
b. Death Certificate (OR ANY SUPPORTING DOCUMENTS) of the deceased family
member.

4. If approved, the said leave will commence at (STATE THE TIME AND DATE OF THE
DURATION OF THE LEAVE, INCLUDING TIME OF TERMINATION).

5. The said midshipman is not serving any restrictions. (IF THERE IS, STATE THE
RESTRICTION YOU ARE SERVING FOR).

6. Hoping for your kind consideration and approval sir.

Requested by:
___________________________
(LAST NAME, FIRST NAME, M.I)
MIDN (RANK) “_” COY

Noted by:
___________________________
(NAME OF COY COMMANDER)
MIDN 1CL “_” COY
COMPANY COMMANDER

Approved/ Disapproved:
__________________
GERLO L ELCHICO
CAPT PN (RET)
DIRECTOR, DMA

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