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CDA-HRS-FR-001

Revision No. 1
January 1, 2010

Individual Pass / Time Adjustment Slip


_________________________________ __________________
(Printed Name of Employee Over Signature) (Date)

Leave the office premises


During the office hours from:
Intended time of departure: __________________
To intended time of Arrival: __________________

Deviate from fixed time of Arrival


From: _______________ To: ______________
(fixed time)

Purpose: Official Personal

Reason: ____________________________________________________________________
____________________________________________________________________

Approved by: ________________________________


(Head Office / Authorized Representative
Actual Time of Departure: ____________________
Actual Time of Arrival: _______________________
__________________
(Guard on Duty)

CDA-HRS-FR-001
Revision No. 1
January 1, 2010

Individual Pass / Time Adjustment Slip


_________________________________ __________________
(Printed Name of Employee Over Signature) (Date)

Leave the office premises


During the office hours from:
Intended time of departure: __________________
To intended time of Arrival: __________________

Deviate from fixed time of Arrival


From: _______________ To: ______________
(fixed time)

Purpose: Official Personal

Reason: ____________________________________________________________________
____________________________________________________________________

Approved by: ________________________________


(Head Office / Authorized Representative
Actual Time of Departure: ____________________
Actual Time of Arrival: _______________________
__________________
(Guard on Duty)
CERTIFICATE OF APPEARANCE

TO WHOM IT MAY CONCERN:

This is to certify that I attended to Mr./Ms. _________________________________________


of the Cooperative Development Authority on ____________________ at _________________ am/pm
When he/she transacted business with our Agency/Company.

______________________________
Signature Over Printed Name of
Attending Employee / Position

Date: __________________________

Name of Agency/ies: ___________________________________


Address: ____________________________________________
Tel. No.: ____________________________________________

In case an employee buys supplies, said employee shall attach an authenticated copy of OR
purchases

CERTIFICATE OF APPEARANCE

TO WHOM IT MAY CONCERN:

This is to certify that I attended to Mr./Ms. _________________________________________


of the Cooperative Development Authority on ____________________ at _________________ am/pm
When he/she transacted business with our Agency/Company.

______________________________
Signature Over Printed Name of
Attending Employee / Position

Date: __________________________

Name of Agency/ies: ___________________________________


Address: ____________________________________________
Tel. No.: ____________________________________________

In case an employee buys supplies, said employee shall attach an authenticated copy of OR
purchases

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