Pass Slip

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Republic

 of  the  Philippines


OFFICE  OF  THE  CITY  ENGINEER
Iriga  City

PASS  SLIP
1.  ISSUED  FOR: A.   OFFICIAL  ACTIVITY B.   PERSONAL  REASONS
2.  TO: DATE:

3.  You  are  hereby  authorized  to  proceed  to:    


for  the  purpose  as  indicated:  (Check  appropriate  purpose)
A.  1 to  coordinate  with
to  attend  meeting/conference
to  secure  documents  &  others
to  follow  up

B.  1 to  attend  personal  matter


4.  Time  of  Departure  from  Office:  ___________________ AM   PM              5.  Time  of  Return: AM   PM  
6.  Requested  by:            7.  Recommending  Approval:
Name  and  Signature  of  Employee
(Immediate  Supervisor)
8.  I  Certify  that  the  above  mentioned  personal  appeared  on  the  date
and  purpose  as  indicated.
Approved:
Name  and  Signature ELVIN  V.  MABANSAY
OIC  -­‐  City  Engineer

Republic  of  the  Philippines


OFFICE  OF  THE  CITY  ENGINEER
Iriga  City

PASS  SLIP
1.  ISSUED  FOR: A.   OFFICIAL  ACTIVITY B.   PERSONAL  REASONS
2.  TO: DATE:

3.  You  are  hereby  authorized  to  proceed  to:    


for  the  purpose  as  indicated:  (Check  appropriate  purpose)
A.  1 to  coordinate  with
to  attend  meeting/conference
to  secure  documents  &  others
to  follow  up

B.  1 to  attend  personal  matter


4.  Time  of  Departure  from  Office:  ___________________ AM   PM              5.  Time  of  Return: AM   PM  
6.  Requested  by:            7.  Recommending  Approval:
Name  and  Signature  of  Employee
(Immediate  Supervisor)
8.  I  Certify  that  the  above  mentioned  personal  appeared  on  the  date
and  purpose  as  indicated.
Approved:
Name  and  Signature ELVIN  V.  MABANSAY
OIC  -­‐  City  Engineer

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