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HHC‐HR‐FRM‐002v.

0
REQUEST FOR LEAVE

NAME: Cornelito T. Manay II


Unit/Dept. : PITX Clinic

From_______May 17, 2022______ to ________May 18, 2022_______________TOTAL 2 days

( ) Sick Leave ( ) Maternity Leave (x )


Other
( ✔ ) Vacation ( ) Paternity Leave
Leave

Reason for leave: _I want to spend my birthday with my foster parent

Cornelito T. Manay II
Employee’s Signature Supervisor/Manager’s
Signature Date: _June 1, 2022

Date:___________

For HRD:
Sick/Vacation Leave Credits: days Full Pay 50%
Less: This Request : _ Without Pay Others
Balance :_ As of
Date : _ Processed
by : _

DATE OF EFFECTIVITY: 09‐24‐10

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