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Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL NORTE


OFFICE OF THE PROVINCIAL LEGAL OFFICER

ZN Convention & Exhibition Center, Dipolog


City

INDIVIDUAL PASS/TIME SLIP


(To be filled by the requesting
employee)

-Time of Office (OUT) should be


deducted from his/her leave credits (Per
E.O. 292)
Equivalent hours/minutes: ___________
Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL NORTE
OFFICE OF THE PROVINCIAL LEGAL OFFICER

ZN Convention & Exhibition Center, Dipolog


City

INDIVIDUAL PASS/TIME SLIP

_____________________
Date

(To be filled by the requesting


employee)

______________________________________
Printed Name/Signature of Employee
_____________________
Permission is requested to:

Date

Leave the office premises during office


hours
Intended time of departure:
__________
Intended time of return:
__________

______________________________________
Printed Name/Signature of Employee
Permission is requested to:
Leave the office premises during office
hours

Purpose:
Reason:

Official

Personal

_________________________________

Intended time of departure:


__________
Intended time of return:
__________
Purpose:

To be filled by the Approving Authority.

Reason:

Official

Personal

_________________________________

Approved by:
ATTY. NORBERTO L. DENURA
Provincial Legal Officer

To be filled by the Approving Authority.


Approved by:

To be filled by the Guard on Duty.


Actual Time of Departure:
___________
Actual Time of Return: ___________

ATTY. NORBERTO L. DENURA


Provincial Legal Officer
To be filled by the Guard on Duty.

_______________________________
(Name/Signature of Guard on
Duty)

Actual Time of Departure:


___________
Actual Time of Return: ___________

If PERSONAL:
_______________________________

(Name/Signature of Guard on
Duty)
If PERSONAL:
-Time of Office (OUT) should be
deducted from his/her leave credits (Per
E.O. 292)
Equivalent hours/minutes: ___________

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