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Individual Pass / Time Adjustment Slip Individual Pass / Time Adjustment Slip

This document contains forms for employees to request permission to leave the office premises during work hours or deviate from their fixed work schedule. It also includes forms for certifying an employee's appearance at another agency or company. The forms must be filled out by the requesting employee and approved by the head of office or authorized representative. Actual departure and arrival times are then logged by the guard. Receipts for any office supplies purchased must also be attached.

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Cenro Kolambugan
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0% found this document useful (0 votes)
1K views2 pages

Individual Pass / Time Adjustment Slip Individual Pass / Time Adjustment Slip

This document contains forms for employees to request permission to leave the office premises during work hours or deviate from their fixed work schedule. It also includes forms for certifying an employee's appearance at another agency or company. The forms must be filled out by the requesting employee and approved by the head of office or authorized representative. Actual departure and arrival times are then logged by the guard. Receipts for any office supplies purchased must also be attached.

Uploaded by

Cenro Kolambugan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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

________________________________ _______________ ________________________________ _______________


Printed Name of employee and Signature Date Printed Name of employee and Signature Date
PERMISSION IS REQUESTED TO: PERMISSION IS REQUESTED TO:

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

Reason: _____________________________________________ Reason: _____________________________________________


____________________________________________________ ____________________________________________________

To be filled up by the approving authority To be filled up by the approving authority


Approved by: Approved by:

______________________________________ ______________________________________
(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

________________________________ _______________ ________________________________ _______________


Printed Name of employee and Signature Date Printed Name of employee and Signature Date

PERMISSION IS REQUESTED TO: PERMISSION IS REQUESTED TO:

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

Reason: _____________________________________________ Reason: _____________________________________________


____________________________________________________ ____________________________________________________

To be filled up by the approving authority To be filled up by the approving authority


Approved by: Approved by:

______________________________________ ______________________________________
(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)
CERTIFICATION OF APPEARANCE CERTIFICATION OF APPEARANCE
TO WHOM IT MAY CONCERN: TO WHOM IT MAY CONCERN:

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.

Signature over Printed Name of Signature over Printed Name of


Attending Employee/Position Attending Employee/Position

Date: Date:

Name of Agency/ies: Name of Agency/ies:


Address: Address:
Telephone Number: Telephone Number:

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

CERTIFICATION OF APPEARANCE CERTIFICATION OF APPEARANCE


TO WHOM IT MAY CONCERN: TO WHOM IT MAY CONCERN:

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.

Signature over Printed Name of Signature over Printed Name of


Attending Employee/Position Attending Employee/Position

Date: Date:

Name of Agency/ies: Name of Agency/ies:


Address: Address:
Telephone Number: Telephone Number:

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

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