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SAN JOSE ADVENTIST ACADEMY

San Roque II, San Jose, Occidental Mindoro

LEAVE of ABSENCE FORM

NAME:_______________________________________________________________________
(Last Name) (First Name) (Middle Name)

POSITION:_______________________________ Date of Filing:________________________


Type of Leave : ( ) Vacation Leave ( ) Sick Leave
( ) Maternity ( ) Others, pls specify:
________________________
Number Of Working Days Applied: ________ Inclusive Dates:________________________
Details of Application:__________________________________________________________

________________________________
Signature of Applicant

APPROVED BY:

MR.GEDION F . FAMERONAG
Principal

SAN JOSE ADVENTIST ELEMENTARY SCHOOL


San Roque II, San Jose, Occidental Mindoro

LEAVE of ABSENCE FORM

NAME:_______________________________________________________________________
(Last Name) (First Name) (Middle Name)

POSITION:_______________________________ Date of Filing:________________________


Type of Leave : ( ) Vacation Leave ( ) Sick Leave
( ) Maternity ( ) Others, pls specify:
________________________
Number Of Working Days Applied: ________ Inclusive Dates:________________________
Details of Application:__________________________________________________________

________________________________
Signature of Applicant

APPROVED BY:

MR. JOSEPH M. AZNAR


Principal
SAN JOSE ADVENTIST ELEMENTARY SCHOOL
San Roque II, San Jose, Occidental Mindoro

LEAVE of ABSENCE FORM

NAME:_______________________________________________________________________
(Last Name) (First Name) (Middle Name)

POSITION:_______________________________ Date of Filing:________________________


Type of Leave : ( ) Vacation Leave ( ) Sick Leave
( ) Maternity ( ) Others, pls specify:
________________________
Number Of Working Days Applied: ________ Inclusive Dates:________________________
Details of Application:__________________________________________________________

________________________________
Signature of Applicant

APPROVED BY:

MR. JOSEPH M. AZNAR


Principal

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