ATTENDANCE AUTHORIZATION FORM

This form should be filled out by the employees to file for changes in schedule or leave of absence and should be submitted for approval of the
immediate or Department Head prior to availment as in case of planned leaves or official business or upon resuming work in the case of
emergency or sick leaves. Accomplished forms duly signed by the Immediate or Department Head

Date of Filling: December 19, 2023 EMS Department

Name of Employee: Reynold Generoso Position: Instructor
Application for:
Overtime Change of Day -Off? Schedule Extra Off/Offset Official Business

Undertime Vacation Leave Sick Leave Maternity/ Paternity Leave

Birthday Leave Others, please specify:

If applying for leave: With Pay Without Pay

DATE FROM TO REASON

December 04, 2023 7Am 8Am St.paul deployment preparation
December 04, 2023 5pm 6pm St.paul deployment, skills
December 05, 2023 6:35am 8am St.Paul deployment preparation
December 05, 2023 5pm 7:20pm St.Paul deployment, exams
December 06, 2023 6Am 7pm St.Paul Deployment, preparation
December 06, 2023 5pm 7pm St.Paul Deployment, retdem +
exam

I hereby responsibility for all information indicated in this form and I Approved Disapproved
understand that no changes shall be made unless authorized by my
Immediate Head.

Name & Signature of Employee Name & Signature of Authorized Signatory