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Form No.

Prov-ISF_AF0004

Integrated School Faculty


Excused Tardiness/ Undertime Application Form
Name and Signature: Kevin Charles L. Pimentel Date Filed:02/27/2024
Subject/Stand/Level: Science 6

Reason for Tardiness/Undertime:Stuck in traffic near Spine Road


Excused: □ Tardy □ Undertime

Official Schedule: 7:30 AM - 4:30 PM Time In/Out:7:40 AM Date of Tardy/Undertime: 02/27/2024

No. of request for the Academic year: Recommending Approval:


☐ Approved ☐ Disapproved
☐ 1 st ☐4 th

☐ 2 nd ☐ 5 th

Rish Astronomo
☐ 3 rd _________________________________ _____________________
Unit Head/s (Name and Signature) Provost
Checked & Recorded by:
__________________________

Note: The ISF_AF0004 must be submitted in four (4) copies

Form No. Prov-ISF_AF0004

Integrated School Faculty


Excused Tardiness/ Undertime Application Form

Name and Signature: Kevin Charles L. Pimentel Date Filed:02/27/2024


Subject/Stand/Level: Science 6

Reason for Tardiness/Undertime: Stuck in traffic near Spine Road


Excused: □ Tardy □ Undertime

Official Schedule: 7:30 AM - 4:30 PM Time In/Out:7:40 AM Date of Tardy/Undertime: 02/27/2024

No. of request for the Academic year: Recommending Approval:

☐ 1 st ☐4 th
☐ Approved ☐ Disapproved
☐ 2 nd ☐ 5 th

Rish Astronomo
☐ 3 rd _________________________________
Unit Head/s (Name and Signature) _____________________
Provost
Checked & Recorded by:
__________________________

Note: The ISF_AF0004 must be submitted in four (4) copies

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