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No Pending Adm Case Request Form Revised 7
No Pending Adm Case Request Form Revised 7
_______________________
Date
Sir/Madam:
a. _____ promotion
b. _____ retirement
mandatory ____
optional ____
c. _____ other (please specify) ________________________________.
Moreover, I likewise attest that no pending case is filed against me before my agency.
________________________________
Signature
________________________________
Present Position
LSD
Date received : _______________ ________________________________
Time received : _______________ Name of Agency/Address
Verified by: __________________