PASS SLIP PASS SLIP

Date : ____________ Date : ____________

Name : Name :
Division : Division :
Permission is requested to leave the office during Permission is requested to leave the office during
office hours: office hours:
Purpose : Official Personal Purpose : Official Personal
State Reason(s) ____________________________ State Reason(s) ____________________________

Time of Departure : Time of Departure :

Est. Time of Return : Est. Time of Return :

________________________
Signature of Employee
Approved by:
________________________________
Division Chief/Administrative Officer
(To be filled up by the Security Guard)
Time of Return : ___________________________
________________________
Signature of Employee
Approved by:
________________________________
Division Chief/Administrative Officer
(To be filled up by the Security Guard)
Time of Return : ___________________________

________________________________ ________________________________
Signature of Security Guard Signature of Security Guard

PASS SLIP PASS SLIP

Date : ____________ Date : ____________
Name : Name :
Division : Division :

Permission is requested to leave the office during Permission is requested to leave the office during
office hours: office hours:

Purpose : Official Personal Purpose : Official Personal

State Reason(s) ____________________________ State Reason(s) ____________________________

Time of Departure : Time of Departure :

Est. Time of Return : Est. Time of Return :

________________________ ________________________
Signature of Employee Signature of Employee

Approved by: Approved by:

________________________________ ________________________________
Division Chief/Administrative Officer Division Chief/Administrative Officer

(To be filled up by the Security Guard) (To be filled up by the Security Guard)
Time of Return : ___________________________ Time of Return : ___________________________
________________________________ ________________________________
Signature of Security Guard Signature of Security Guard
 Republic of the Philippines Republic of the Philippines
Department of Environment and Natural Resources Department of Environment and Natural Resources
ENVIRONMENTAL MANAGEMENT BUREAU ENVIRONMENTAL MANAGEMENT BUREAU
Region V, Legazpi City Region V, Legazpi City

PASS SLIP PASS SLIP

Name : Name :
Division : Division :
Purpose : Purpose :

Date : Date :
Time : From : Time : From :
To : To :

________________________ ________________________
Signature of Employee Signature of Employee

Approved by: Approved by:

________________________________ ________________________________
Division Chief/Administrative Officer Division Chief/Administrative Officer

Republic of the Philippines Republic of the Philippines

Department of Environment and Natural Resources Department of Environment and Natural Resources
ENVIRONMENTAL MANAGEMENT BUREAU ENVIRONMENTAL MANAGEMENT BUREAU
Region V, Legazpi City Region V, Legazpi City

PASS SLIP PASS SLIP

Name : Name :
Division : Division :
Purpose : Purpose :

Date : Date :
Time : From : Time : From :
To : To :

________________________ ________________________
Signature of Employee Signature of Employee

Approved by: Approved by:

________________________________ ________________________________
Division Chief/Administrative Officer Division Chief/Administrative Officer