N

CERTIFICATE OF APPEARANCE
INDIVIDUAL PASS SLIP
Date: ________________________
TO WHOM IT MAY CONCERN:
Name of Employee: _________________________________________________________
Signature: ____________________________________________________________________
Permission is requested to: This is to certify that I attended to
Leave the School Premises during the Office hours from: Mr./ Ms. _______________________________________________________________________ of
_____________________________________________________________________________________
Time of Departure: _____________ on ______________________________________ at ___________________________ a.m / p.m
Time of Arrival: _____________
when he/ she transacted business with my Agency/Company.

Purpose: ___ Official ___ Personal

________________________
Reasons: _______________________________________ (Signature over printed Name of
_______________________________________ Attending Employee/ Position)

_______________________________________
Name of Agency/ies: __________________________________
Approved by: Address: __________________________________________
Time of Arrival: ________________
EVANGELINE N. ANDALES Time of Completion: _____________
Head Teacher 1
(in case an employee buys Office Supplies, said employee
Note: This Slip will also serve as Travel Order. shall attached an authenticated copy of OR of purchases)

------------------------------------------------------------------------------------------------
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INDIVIDUAL PASS SLIP CERTIFICATE OF APPEARANCE

Date: ________________________
Name of Employee: _________________________________________________________ TO WHOM IT MAY CONCERN:
Signature: ____________________________________________________________________
Permission is requested to: This is to certify that I attended to
Leave the School Premises during the Office hours from:
Mr./ Ms. _______________________________________________________________________ of
Time of Departure: _____________ _____________________________________________________________________________________
Time of Arrival: _____________ on ______________________________________ at ___________________________ a.m / p.m
when he/ she transacted business with my Agency/Company.
Purpose: ___ Official ___ Personal

Reasons: _______________________________________ ________________________

(Signature over printed Name of
_______________________________________ Attending Employee/ Position)
_______________________________________
Name of Agency/ies: __________________________________
Approved by:
Address: __________________________________________
Time of Arrival: ________________
EVANGELINE N. ANDALES
Head Teacher 1 Time of Completion: _____________

Note: This Slip will also serve as Travel Order. (in case an employee buys Office Supplies, said employee
shall attached an authenticated copy of OR of purchases)
------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------

CERTIFICATE OF APPEARANCE
INDIVIDUAL PASS SLIP
Date: ________________________
Name of Employee: _________________________________________________________ TO WHOM IT MAY CONCERN:
Signature: ____________________________________________________________________
Permission is requested to: This is to certify that I attended to
Leave the School Premises during the Office hours from: Mr./ Ms. _______________________________________________________________________ of
_____________________________________________________________________________________
Time of Departure: _____________
on ______________________________________ at ___________________________ a.m / p.m
Time of Arrival: _____________
when he/ she transacted business with my Agency/Company.

Purpose: ___ Official ___ Personal

________________________
Reasons: _______________________________________ (Signature over printed Name of
Attending Employee/ Position)
_______________________________________
_______________________________________
Name of Agency/ies: __________________________________
Approved by: Address: __________________________________________
Time of Arrival: ________________
EVANGELINE N. ANDALES Time of Completion: _____________
Head Teacher 1
(in case an employee buys Office Supplies, said employee
Note: This Slip will also serve as Travel Order. shall attached an authenticated copy of OR of purchases)