Individual Pass / Time Adjustment Slip Individual Pass / Time Adjustment Slip
Individual Pass / Time Adjustment Slip Individual Pass / Time Adjustment Slip
Leave the office premises during office hours from: Leave the office premises during office hours from:
Intended Time of Departure _______________________ Intended Time of Departure _______________________
To Intended Time of Arrival _______________________ To Intended Time of Arrival _______________________
Deviate from my fixed time of arrival Deviate from my fixed time of arrival
From __________________ To __________________ From __________________ To __________________
(Fixed Time) (Fixed Time)
Purpose: Official Personal Purpose: Official Personal
______________________________________ ______________________________________
(Head of Office/Authorized Representative (Head of Office/Authorized Representative
To be filled up by the Guard To be filled up by the Guard
Actual Time of Departure ______________ _____________ Actual Time of Departure ______________ _____________
Actual Time of Arrival ______________ _____________ Actual Time of Arrival ______________ _____________
(Guard) (Guard)
INDIVIDUAL PASS / TIME ADJUSTMENT SLIP INDIVIDUAL PASS / TIME ADJUSTMENT SLIP
To be filled up by the requesting Employee To be filled up by the requesting Employee
Leave the office premises during office hours from: Leave the office premises during office hours from:
Deviate from my fixed time of arrival Deviate from my fixed time of arrival
From __________________ To __________________ From __________________ To __________________
(Fixed Time) (Fixed Time)
Purpose: Official Personal Purpose: Official Personal
______________________________________ ______________________________________
(Head of Office/Authorized Representative (Head of Office/Authorized Representative
This is to certify that I attended to Mr./Mrs. This is to certify that I attended to Mr./Mrs.
_______________________________________________ _______________________________________________
of DENR-Community Environment and Natural Resources of DENR-Community Environment and Natural Resources
Office – Kolambugan, LDN on Office – Kolambugan, LDN on
_______________________________ at _______________________________ at
_______________________ AM/PM when he/she _______________________ AM/PM when he/she
transacted business with my Agency/Company. transacted business with my Agency/Company.
Date: Date:
In case an employee buy office supplies, said employee shall In case an employee buy office supplies, said employee shall
attached authenticated copy of OR of purchase attached authenticated copy of OR of purchase
This is to certify that I attended to Mr./Mrs. This is to certify that I attended to Mr./Mrs.
_______________________________________________ _______________________________________________
of DENR-Community Environment and Natural Resources of DENR-Community Environment and Natural Resources
Office – Kolambugan, LDN on Office – Kolambugan, LDN on
_______________________________ at _______________________________ at
_______________________ AM/PM when he/she _______________________ AM/PM when he/she
transacted business with my Agency/Company. transacted business with my Agency/Company.
Date: Date:
In case an employee buy office supplies, said employee shall In case an employee buy office supplies, said employee shall
attached authenticated copy of OR of purchase attached authenticated copy of OR of purchase