Nephrology Center of Manila

DIALYSIS CENTER
Ground Floor, Ruby Ann Building
911 San Andres St., cor. Leon Guinto Streets, Malate, Manila
Tel. Nos. 536-5108 to 10 Fax No. 536-5107

OVERTIME SLIP

Name of Employee:
DATE OF OVERTIME

NO. OF HOURS

FROM

REQUESTED BY:______________________________________

TO

POSITION:________________________________________

CONFORME:

VERIFIED BY

___________________________________
Employee's Signature

________________________________
Immediate Supervisor

Nephrology Center of Manila

DIALYSIS CENTER
Ground Floor, Ruby Ann Building
911 San Andres St., cor. Leon Guinto Streets, Malate, Manila
Tel. Nos. 536-5108 to 10 Fax No. 536-5107

OVERTIME SLIP

Name of Employee:
DATE OF OVERTIME

NO. OF HOURS

FROM

REQUESTED BY:______________________________________

TO

POSITION:________________________________________

CONFORME:

VERIFIED BY

___________________________________
Employee's Signature

________________________________
Immediate Supervisor

nila

late, Manila
07

Date Filed:_____________________________
Employee No.__________________________
REASON FOR OVERTIME

_______________________________________
APPROVED BY
______________________________________
Department Head

nila

late, Manila
07

Date Filed:_____________________________
Employee No.__________________________
REASON FOR OVERTIME

_______________________________________
APPROVED BY
______________________________________
Department Head

Nephrology Center of Pasig City Inc.

DIALYSIS CENTER
#53 Dr. Sixto Antonio Avenue, Brgy. Kapasigan, Pasig City
Tel Nos. 650-2129 / 570-8951

APPLICATION FOR LEAVE

Employee No:
Name of Employee:
Current Leave Balance
Inclusive Date of Leave:

Date of Filing:
Department:
Cost Center:
Total No. of Days:

to
NATURE OF LEAVE:

NO. OF DAYS

SICK LEAVE

______

VACATION LEAVE

______

MATERNITY LEAVE

______

LEAVE W/O PAY

______

OTHERS, please specify

______

ADDRESS WHILE ON LEAVE __________________________________________________________________________________________________

Requested by:

Recommended for Approval by:

Employee's Signature

Immediate Supervisor

Nephrology Center of Pasig City Inc.

DIALYSIS CENTER
#53 Dr. Sixto Antonio Avenue, Brgy. Kapasigan, Pasig City
Tel Nos. 650-2129 / 570-8951

APPLICATION FOR LEAVE

Employee No:
Name of Employee:
Current Leave Balance
Inclusive Date of Leave:

Date of Filing:
Department:
Cost Center:
Total No. of Days:

to
NATURE OF LEAVE:

NO. OF DAYS

SICK LEAVE

______

VACATION LEAVE

______

MATERNITY LEAVE

______

LEAVE W/O PAY

______

OTHERS, please specify

______

ADDRESS WHILE ON LEAVE __________________________________________________________________________________________________

Requested by:

Recommended for Approval by:

Employee's Signature

Immediate Supervisor

__________
Approved by:
Department Head

__________
Approved by:
Department Head

Nephro Group Dialysis Centers

APPLICATION FOR LEAVE

Employee No:
Name of Employee:
Current Leave Balance
Inclusive Date of Leave:

Date of Filing:
Department:
Cost Center:
Total No. of Days:

to
NATURE OF LEAVE:

NO. OF DAYS

SICK LEAVE

______

VACATION LEAVE

______

MATERNITY LEAVE

______

LEAVE W/O PAY

______

OTHERS, please specify

______

ADDRESS WHILE ON LEAVE __________________________________________________________________________________________________

Requested by:

Recommended for Approval by:

Employee's Signature

Immediate Supervisor

Nephro Group Dialysis Centers

APPLICATION FOR LEAVE

Employee No:
Name of Employee:
Current Leave Balance
Inclusive Date of Leave:

Date of Filing:
Department:
Cost Center:
Total No. of Days:

to
NATURE OF LEAVE:

NO. OF DAYS

SICK LEAVE

______

VACATION LEAVE

______

MATERNITY LEAVE

______

LEAVE W/O PAY

______

OTHERS, please specify

______

ADDRESS WHILE ON LEAVE __________________________________________________________________________________________________

Requested by:

Recommended for Approval by:

Employee's Signature

Immediate Supervisor

__________
Approved by:
Department Head

__________
Approved by:
Department Head

Nephrology Center of Pasig City , Inc

OVERTIME SLIP

Name of Employee:
DATE OF OVERTIME

NO. OF HOURS

FROM

REQUESTED BY:______________________________________

TO

POSITION:________________________________________

CONFORME:

VERIFIED BY

___________________________________
Employee's Signature

________________________________
Immediate Supervisor

Nephrology Center of Pasig City , Inc

OVERTIME SLIP

Name of Employee:
DATE OF OVERTIME

NO. OF HOURS

FROM

REQUESTED BY:______________________________________
CONFORME:

VERIFIED BY

TO

POSITION:________________________________________

___________________________________
Employee's Signature

________________________________
Immediate Supervisor

ty , Inc

Date Filed:_____________________________
Employee No.__________________________
REASON FOR OVERTIME

_______________________________________
APPROVED BY
______________________________________
Department Head

ty , Inc

Date Filed:_____________________________
Employee No.__________________________
REASON FOR OVERTIME

_______________________________________
APPROVED BY

______________________________________
Department Head

NEPHRO GROUP OF DIALYSIS CENTERS

OFFICIAL ITINERARY FORM
NAME : EVELYN G. ZABALA
POSITION : AREA ADMINISTRATOR

OB SCHEDULE
DATE

DESTINATION

EMPLOYEE SIGNATURE : __________________________________

NOTED BY : ____________________________________________

OUP OF DIALYSIS CENTERS

CIAL ITINERARY FORM

DATE FILED : __________________________

OB SCHEDULE

____________

__________

REMARKS