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Application of Leave CSC Form No. 6 : Revised 1985

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Republika ng Pilipinas

Kagawaran ng Edukasyon
Region XI
SANGAY NG COMPOSTELA VALLEY
Nabunturan

CSC Form No. 6 (Revised 1985) APPLICATION OF LEAVE


TYPE OF LEAVE
Signature : SICK In hospital
Name : Out patient
Position :
Employee No. : VACATION within the Philippines
School :
District : abroad (specify) ____________
Monthly Basic Salary :
Date of Original Appointment:
Date of Filing :
No. of working days applied for: MATERNITY
Inclusive date/s :
OTHERS (Specify)
COMMUTATION:
Requested
ACTION ON APPLICATION
Not Requested
NOTED: Recommending

Approval
JASON A. EYANA
Assistant School Principal II Disapproval due to

WITNESSES: Approved for:


Days With Pay
1) 2) Days Without Pay
Days With Pay Charged to COC

FOR PERSONNEL USE ONLY


Disapproved due to: ______________
COC VL SL TOTAL
Leave Credits as of:
________________

Less: THIS LEAVE


BALBINA B. TOLENTINO
Principal III
BALANCE

Certified correct by: APPROVED:

NORBERTO S. MANLANGIT, CE,MPA


Administrative Officer V Dr. REYNANTE A. SOLITARIO, CESE
OIC, Schools Division Superintendent

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