| Name | |
| Position / Department | |
| Time Out | |
| Reason | |
| Duration Allowed |
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Requested by
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Approved by _________________ Dept. Head | Acknowledge 1 ________________ HR Dept | Acknowledge 2 ________________ Security |
| Name | |
| Position / Department | |
| Time Out | |
| Reason | |
| Duration Allowed |
|
Requested by
|
Approved by _________________ Dept. Head | Acknowledge 1 ________________ HR Dept | Acknowledge 2 ________________ Security |
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