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MAYFLOWER CONSTRUCTION & DEVELOPMENT

DESIGN. CONSULTANT. PLANNING. ESTIMATES. GEN.CONTRACTOR Km 78 Mc Arthur Highway, Brgy. Saguin, San Fernando, Pampanga Telephone No. (045) 961-19-07/ (045) 860-59-77

PERSONNEL ACTION FORM


NAME:_______________________________________ ADDRESS: DATE OF BIRTH: TIN: ___________________ SSS: __________ DATE: _______________ DEPARTMENT: _________________ CIVIL STATUS: _________________ DATE EMPLOYED: _____________

You are hereby notified of the following actions: ( / ) Employment ( ) Change of Employment Status ( ) Salary Adjustment ( ) Voluntary Resignation (Acceptance/Rejection) ( ) Transfer ( ) Termination of Employment JOB/POSITION TITLE DEPARTMENT SALARY RATE

Disciplinary Action

EFFECTIVITY DATE OF THIS ACTION

FROM: TO: EXPLANATION: Basic Salary : Hazard Pay : Food Allowance : Gross Salary : Training Allowance : Cola : TERMS AND CONDITIONS ( ) Trainee (one month) ( ) Orientee (two weeks) ( /) Contractual (five Months) ( ) Probationary (six months) ( ) Appointment to Permanent Employee Date of Initial Appointment

BENEFITS:

Only those marked X are applicable in effect: ( ) Duties and Salary/Level Exempt You from Overtime Compensation ( ) Reclassification With/Without Increase in salary ( ) Reduction of Force ( ) Employment Contingent upon Passing Company Medical Physical Examination Present Increase Last Increase Date RECOMMENDING APPROVAL APPROVED

INITIATED

MS. ANGELICA M. ANICETE

HR Officer

MR. GERALD F. PANGAN Accounting Head DR. MONET M. BUSTOS-BRIONES Vice President- Finance

ENGR. JESUS GERARD R. BRIONES Vice President Engineering ENGR. ADRIAN R. BRIONES President/General Manager

Employee: Date: C.C. Employee

___________________________ ___________________________ Accounting Department Personnel Division Department File

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