St. Mary’s College of Borongan, Inc.

PRIN-0002 AF
(Formerly: St. Joseph’s College)
Borongan City, Eastern Samar
SY _____________
PLANNED ABSENCE NOTICE
(Before absence)
NAME:______________________________________ DATE of ABSENCE: ______________
DEPARTMENT: ______________________________
DESIGNATION: ______________________________
NATURE OF ABSENCE:
_________ Personal (please specify)
__________________________________________________________________________________________________
_________ Emergency ________ Sick __________ Accident
_________ Studies ________ Medical Check-up
OTHERS:
__________________________________________________________________________________________________
Number of Days of Absence: _________ ______ with Seatwork ______ without Seatwork
Notified: ______ Academic Coordinator
______ Principal ______ Officer-in-charge
Means of Informing the Office: ______ Text Messaging ______ Call
______ Email ______ Letter
Signature: __________________________________________
Noted, Checked & Verified by: Approved:

_________________________ ____________________________________
Academic Coordinator VP for Academics and Principal

_________ Excused (justifiable reasons: sickness of the teacher/immediate family member, others considered justifiable)
_________ Unexcused (with deduction in the salary for each day of absence)
Note: (1) File notice planned absence at least one (1) day before the actual date of absence.
(2) Submit a medical certificate or other supporting papers/documents for absences exceeding three (3) days.

St. Mary’s College of Borongan, Inc.

(Formerly: St. Joseph’s College) PRIN-0002 AF
Borongan City, Eastern Samar
SY _____________
PLANNED ABSENCE NOTICE
(Before absence)
NAME:______________________________________ DATE of ABSENCE: ______________
DEPARTMENT: ______________________________
DESIGNATION: ______________________________
NATURE OF ABSENCE:
_________ Personal (please specify)
__________________________________________________________________________________________________
_________ Emergency ________ Sick __________ Accident
_________ Studies ________ Medical Check-up
OTHERS:
__________________________________________________________________________________________________
Number of Days of Absence: _________ ______ with Seatwork ______ without Seatwork
Notified: ______ Academic Coordinator
______ Principal ______ Officer-in-charge
Means of Informing the Office: ______ Text Messaging ______ Call
______ Email ______ Letter
Signature: __________________________________________
Noted, Checked & Verified by: Approved:

_________________________ ____________________________________
Academic Coordinator VP for Academics and Principal

_________ Excused (justifiable reasons: sickness of the teacher/immediate family member, others considered justifiable)
_________ Unexcused (with deduction in the salary for each day of absence)
Note: (1) File notice planned absence at least one (1) day before the actual date of absence.
(2) Submit a medical certificate or other supporting papers/documents for absences exceeding three (3) days.