SOUTHSHIELD SECURITY AGENCY
158 Frisco Place Unit 208 Roosevelt Ave. Cor.
SFDM Ave. Quezon City.
Tel. No. 285-9223
E-mail Add: southshield@yahoo.com.ph
__________________
Date
Name :___________________________________ ______________________
Place of Duty Assignment: ______________________________________ Contact No. while on Leave
Reason for Leave: ____________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Date Start of Leave: __________________________ Date return to work: ____________________________
________________________________
Signature over printed name of applicant for Leave
Referred by: _________________________________________ Noted by:
_____________________________________________
HR Operation’s Signature above printed name Operation
Manager’s Signature above printed name
Approved by: ______________________________________________
General Manager’s Signature
N.B. (Dalhin po ang Leave Form na ito sa SSA opis, isang araw bago ang takdang araw ng
pagbabalik sa duty upang makakuha ng Back to Work Order)
SOUTHSHIELD SECURITY AGENCY
158 Frisco Place Unit 208 Roosevelt Ave. Cor.
SFDM Ave. Quezon City.
Tel. No. 285-9223
E-mail Add: southshield@yahoo.com.ph
__________________
Date
Name :___________________________________ ______________________
Place of Duty Assignment: ______________________________________ Contact No. while on Leave
Reason for Leave: ____________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Date Start of Leave: __________________________ Date return to work: ____________________________
________________________________
Signature over printed name of applicant for Leave
Referred by: _________________________________________ Noted by:
_____________________________________________
HR Operation’s Signature above printed name Operation
Manager’s Signature above printed name
SOUTHSHIELD SECURITY AGENCY
158 Frisco Place Unit 208 Roosevelt Ave. Cor.
SFDM Ave. Quezon City.
Tel. No. 285-9223
E-mail Add: southshield@yahoo.com.ph
Approved by: ____________________________________________
General Manager’s Signature
N.B. (Dalhin po ang Leave Form na ito sa SSA opis, isang araw bago ang takdang araw ng
pagbabalik sa duty upang makakuha ng Back to Work Order)