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APPLICATION FOR COMPENSATORY TIME-OFF (CTO)

Name: Position: Date:

(Last) (First) (Middle)

DETAILS OF APPLICATION
NUMBER OF WORKING DAYS Valid Reason/Purpose for availment of Compensatory
APPLIED FOR: ________ ( )_working_day(s)__ Time-off (CTO)

INCLUSIVE DATES OF CTO: ______________

Beginning Balance Used COCs Remaining Balance


No. of Hours of Earned COCs No. of Hours No. of Hours of COCs _________________
(Signature of Applicant)

As of: ________________
Note: The schedule maybe recalled and subsequently re-

VERIFIED CORRECT: scheduled in the exigency of the service .

______________
________________________
Time Keeper

APPROVED:

CLAIMED:
______________
_______________________
Department Head

FE P. SIAZON
Supervising Adm. Officer
(Human Resource Management Officer)

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