Disciplinary Action Form

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MASAGANA MARKETING MGT. & CONSULTANCY INC


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152C West Ave. Brgy. Phllam, euezon City


Telephone Numbers: 709-13-71;426.64,65

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DISCICLWARY ACTION FORM

Attendance

6ross & Simple Negligence

lnsubordination

Sabotage & Damage to Property

Misconduct/M isdemeanor

Securlty & Safeiy

Fraud,/Lost of Trust/Dishonesty

Others

Commission of a Crime or Offenses

lncident Report

Thus, you are hereby instructed to explain in writing within


hours from
disciplinary action should be imposed on you for possibly violatirfrt6Eli-oirctpline.

receipt hereofwhyno

Your failure to answer wlthin the said period shall be construed as waiver of your right and would
Jeave the
lssued by:

Signature over Prlntd Name


EXPLANATION;

Received by:

ature over Prl

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