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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
Division of Cagayan
GONZAGA EAST DISTRICT
Baua Central School

PASS SLIP

Republic of the Philippines


DEPARTMENT OF EDUCATION
Region 02
Division of Cagayan
GONZAGA EAST DISTRICT
Gonzaga, Cagayan

PASS SLIP
Date: __________
Date: __________

Name of Employee: ___________________________


Designation: _________________________________
Requesting permission to leave the office hours on
Official Business
[ ]
Official Time:
[ ]
Personal
[ ]

Name of Employee: ___________________________


Designation: _________________________________
Requesting permission to leave the office hours on
Official Business
[ ]
Official Time:
[ ]
Personal
[ ]

Destination: _________________________________
Destination: _________________________________
Purpose: ___________________________________
___________________________________________
___________________________________________
___________________________________________

Purpose: ___________________________________
___________________________________________
___________________________________________
___________________________________________

Approved:
Approved:
MELVIE A. MADRONIO
ESP -I/ Action Officer
Time of Departure: _________________________
Time of Arrival: ___________________________

EDEN P. MALABAG, Ph. D.


PSDS/ Action Officer
Time of Departure: _________________________
Time of Arrival: ___________________________

To whom it may concern:


To whom it may concern:
This is to certify that _______________________
appeared in this office from _______________ to
___________ AM/PM.
_________________________
Name and Signature

This is to certify that _______________________


appeared in this office from _______________ to
___________ AM/PM.
_________________________
Name and Signature

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