PASSSLIP PASSSLIP

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 & Signature) Date (Printed Name of Employee & Signature) Date

Permission is requested to: Permission is requested to:

Leave the office premises during office hours Leave the office premises during office hours

Intended time of Departure Intended time of Departure

to intended time of Arrival to intended time of Arrival

Deviate from my fixed time of arival Deviate from my fixed time of arival
From To From To

Purpose: Purpose:
Official Personal Official Personal

Reasons: Reasons:

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

Approved by: Approved by:

ENGR. JOSE ALBERT A. BARROGO ENGR. JOSE ALBERT A. BARROGO
RTD for Operations & Extension RTD for Operations & Extension
To be filled up by the guard: To be filled up by the guard:

Actual Time of Departure Actual Time of Departure

(Guard) (Guard)

Actual Time of Arrival Actual Time of Arrival

(Guard) (Guard)
 CERTIFICATE OF APPEARANCE CERTIFICATE OF APPEARANCE

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

This is to certify that I attended This is to certify that I attended
Mr./Ms._________________________ Mr./Ms._________________________
of the Department of Agriculture, RFO 6, Iloilo City of the Department of Agriculture, RFO 6, Iloilo City
on_________________at on_________________at
_________________ when he/she transacted business with my _________________ when he/she transacted business with my
Agency/Company. Agency/Company.

Signature over Printed Name of Attending Signature over Printed Name of Attending
Employee/Postion Employee/Postion

Date Date

Name of Agency: Name of Agency:

Address: Address:
Tel. No.: Tel. No.:

*In case an employee buys office supplies, the said employee shall attach authenticate copy *In case an employee buys office supplies, the said employee shall attach authenticate
of OR of Purchase. copy of OR of Purchase.
 PASSSLIP CERTIFICATE OF APPEARANCE
Individual Pass/Time/Adjustment Slip
To be filled up by the requesting employee
TO WHOM IT MAY CONCERN:
This is to certify that I attended Mr./Ms.
____________________________
(Printed Name of Employee & Signature) Date of the Department of Agriculture, RFO 6, Iloilo City on ________________
at __________am/pm when he/she transacted business with my
Permission is requested to:
Agency/Company.

Leave the office premises during office hours

Signature over Printed Name of Attending
Intended time of Departure Employee/Postion
to intended time of Arrival

Deviate from my fixed time of arival Date

From To

Purpose:
Official Personal
Name of Agency:
Reasons: Address:
Tel. No.:

*In case an employee buys office supplies, the said employee shall attach authenticate
To be filled up by the approving authority: copy of OR of Purchase.

Approved by:

To be filled up by the guard:

Actual Time of Departure

(Guard)

Actual Time of Arrival

(Guard)
 CERTIFICATE OF APPEARANCE CERTIFICATE OF APPEARANCE

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

This is to certify that I attended Mr./Ms. This is to certify that I attended Mr./Ms.
of the Department of Agriculture, RFO 6, Iloilo City on at of the Department of Agriculture, RFO 6, Iloilo City on at
am/pm when he/she transacted business with my Agency/Company. am/pm when he/she transacted business with my Agency/Company.

Signature over Printed Name of Attending Signature over Printed Name of Attending
Employee/Postion Employee/Postion

Date Date

Name of Agency: Name of Agency:

Address: Address:
Tel. No.: Tel. No.:

*In case an employee buys office supplies, the said employee shall attach authenticate copy *In case an employee buys office supplies, the said employee shall attach authenticate
of OR of Purchase. copy of OR of Purchase.