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OUR LADY OF THE SNOWS INSTITUTE

Archdiocese of Capiz
Dumarao, Capiz
____________________________________________________________________________

Name: ______________________

Department: _________________

Absent from work: FROM _______________ to: __________________________

With permission: _______________________

Reason for absence: _______________________

Expect to return to work on _________________________________________

Approved:

________________________ Rev.Fr. GLEMIL JAN G. ALBANIA


Printed name over signature School Principal

****************************************************************************

Name: ______________________

Department: _________________

Absent from work: FROM _______________ to: __________________________

With permission: _______________________

Reason for absence: _______________________

Expect to return to work on _________________________________________

Approved:

________________________ Rev.Fr. GLEMIL JAN G. ALBANIA


Printed name over signature School Principal
Name: ______________________

Department: _________________

Absent from work: FROM _______________ to: __________________________

With permission: _______________________

Reason for absence: _______________________

Expect to return to work on _________________________________________

Approved:

________________________ Rev.Fr. GLEMIL JAN G. ALBANIA


Printed name over signature School Principal

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