PETROTECH MPJ, INC

APPLICATION FOR OVERTME/WORK ON RESTDAY

Employee Name:
Employee No.:
Month: 1-15 16-30
Employee 1
Date Regular days Restday Holiday
Reason
In Out In Out In Out

Signature:
Employee Name: Date
Employee No.:
Month: 1-15 16-30
Employee 1
Date Regular days Sunday Holiday
Reason
In Out In Out In Out

Signature:
I certify that the hours shown above were worked by me during the week indicated is true and correct.

Approved by: Noted by:

Supervisor Signture above printed name
Authorize Person of PETRON

Guard on Duty