SNR ROYALTY CORPORATION

Kandi Tower Savino Drive Josefa Subdivision,

Malabanias Angeles City, Pampanga/2009.

To :
Position :
Designation :

RE : REQUEST FOR EXPLANATION LETTER

Dear,

You are hereby to submit your written explanation within 24 hours for violation against
Company Interest HEALTH & SAFETY – Engaging in any in relationship which
prohibited by the company rules & regulations. (Having in a relationship to a co-worker
inside the company premises.)
Pakikipag-ugnayan sa anumang relasyon na ipinagbabawal ng mga tuntunin at
regulasyon ng kumpanya. (Pagkakaroon ng relasyon sa isang katrabaho sa loob ng
lugar ng kumpanya.)

SNR ROYALTY CORPORATION

Received by: ___________________________ Date: _________________

Signature Over Printed Name

Note: Failure to submit within the period of given time means you have waived your rights to be
heard and management will proceed to progressive disciplinary actions.
SNR ROYALTY CORPORATION
Kandi Tower Savino Drive Josefa Subdivision,
Malabanias Angeles City, Pampanga/2009.

Name :
Date :
Position :

Brief Explanation of Incident :

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
___________.

I hereby certify that the information provided in this form is complete, true and correct to the best
of my knowledge.

______________________
Signature