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1. Region VI- Western Visayas
Schools Division of Iloilo
Schools District of Tigbauan
BINALIUAN NATIONAL HIGH SCHOOL
Tigbauan, Iloilo
PASS SLIP
(Office Copy)
To be filled up by the requesting employee
____________________________________ _________________
Printed Name of the Employee & Signature Date
Permission is requested to:
Leave the school premises during office hours
Intended Time of Departure ______________
Intended Time of Arrival ______________
Deviate from my fixed time of Arrival
From: ________________ To: _________________
Reason: ________________________________________________
To be filled up by the Approving Authority
Approved by:
ONNIE T. TORREFLORES
Officer-In-Charge
Office of the School Principal
To be filled up by the In-Charge
Actual Time of Departure
Actual Time of Arrival ____________________
Signature of In-Charge
Region VI- Western Visayas
Schools Division of Iloilo
Schools District of Tigbauan
BINALIUAN NATIONAL HIGH SCHOOL
Tigbauan, Iloilo
PASS SLIP
(Personal Copy)
To be filled up by the requesting employee
____________________________________ _________________
Printed Name of the Employee & Signature Date
Permission is requested to:
Leave the school premises during office hours
Intended Time of Departure ______________
Intended Time of Arrival ______________
Deviate from my fixed time of Arrival
From: ________________ To: _________________
Reason: ________________________________________________
To be filled up by the Approving Authority
Approved by:
ONNIE T. TORREFLORES
Officer-In-Charge
Office of the School Principal
To be filled up by the In-Charge
Actual Time of Departure
Actual Time of Arrival ____________________
Signature of In-Charge