INDIVIDUAL PASS SLIP CERTIFICATE OF APPEARANCE

Date: TO WHOM IT MAY CONCERN:

Name of Employee:
Signature: This is to certify that I attended to
Permission is requested to: Leave the Office premises of the Department of Education, Division of Cebu Province
during Office hours from: on at am/pm when he/she
•Intended time of Departure : transacted business with my Agency/Company.
•Intended time of Arrival :
•Actual Time of Arrival :
_________________________________________
Purpose: Please check:  Official Personal (Signature over printed name of attending employee/Position)

Reason/s:
Date signed:
Name of Agency/ies:
Address:

Approved: (In case an employee buys Office supplies, said employee shall
ANGELITA P. LEGARDE attach an authenticated copy of OR of purchases)
School Head
For Personnel on duty: For Personnel on duty:
Actual Time of Departure: Actual time of Arrival:
Date received and Time:
Name & Signature: Name and signature:

Note: This slip will also serve as Travel Order.

INDIVIDUAL PASS SLIP CERTIFICATE OF APPEARANCE

Date:
Name of Employee:
Signature:
Permission is requested to: Leave the Office premises
during Office hours from:
•Intended time of Departure :
•Intended time of Arrival :
•Actual Time of Arrival :
Purpose: Please check:
TO WHOM IT MAY CONCERN:
This is to certify that I attended to
of the Department of Education, Division of Cebu Province
on at am/pm when he/she
transacted business with my Agency/Company.
_______________________________________
 Official Personal (Signature over printed name of attending employee/Position)

Reason/s:
Date signed:
Name of Agency/ies:
Address:

Approved: (In case an employee buys Office supplies, said employee shall
ANGELITA P. LEGARDE attach an authenticated copy of OR of purchases)
School Head
For Personnel on duty: For Personnel on duty:
Actual Time of Departure: Actual time of Arrival:
Date received and Time:

Name & Signature: Name and signature:

Note: This slip will also serve as Travel Order.