Excuse Latter Excuse Latter

Sir/Ma’am, Date:____________ Sir/Ma’am, Date:____________

Please excuse me for I will ( ) be absent on ________________________ Please excuse me for I will ( ) be absent on ________________________
( ) go out early today at__________________ ( ) go out early today at__________________
For the reason/s:_____________________________________________ For the reason/s:_____________________________________________

___________________________________________________________ ___________________________________________________________

_________________________________ _____________________ _________________________________ _____________________

Employee’s Signature over printed name Assigned Dept./Section Employee’s Signature over printed name Assigned Dept./Section

( ) Approved ( ) Disapproved Remarks: ( ) Approved ( ) Disapproved Remarks:

_______________________________ ________________ _______________________________ ________________
Immediate Supervisor’s Signature Floor Head/Head _. Immediate Supervisor’s Signature Floor Head/Head _.
HR Action: HR Action:
( ) Approved ( ) Approved
( ) Disapproved By:_______________ Time Out______________ ( ) Disapproved By:_______________ Time Out______________
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Excuse Latter Excuse Latter

Sir/Ma’am, Date:____________ Sir/Ma’am, Date:____________
Please excuse me for I will ( ) be absent on ________________________ Please excuse me for I will ( ) be absent on ________________________
( ) go out early today at__________________ ( ) go out early today at__________________
For the reason/s:_____________________________________________ For the reason/s:_____________________________________________

___________________________________________________________ ___________________________________________________________

_________________________________ _____________________ _________________________________ _____________________

Employee’s Signature over printed name Assigned Dept./Section Employee’s Signature over printed name Assigned Dept./Section

( ) Approved ( ) Disapproved Remarks: ( ) Approved ( ) Disapproved Remarks:

_______________________________ ________________ _______________________________ ________________
Immediate Supervisor’s Signature Floor Head/Head _ Immediate Supervisor’s Signature Floor Head/Head _.
HR Action: HR Action:
( ) Approved ( ) Approved
( ) Disapproved By:_______________ Time Out______________ ( ) Disapproved By:_______________ Time Out______________
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