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