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Application For Leave: Revised 1984

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Jovenill Granton VII

This document is an application for leave form from the Department of Education in the Philippines. It collects information such as the applicant's office, name, date of filing, position and salary. It asks for details of the leave such as type of leave being applied for, where the leave will be spent, and number of working days. It also has sections for certifying the applicant's leave credits, recommendations on the application, and space for the final approval or disapproval of the leave.

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Application For Leave: Revised 1984

Uploaded by

Jovenill Granton VII
17 views2 pages
This document is an application for leave form from the Department of Education in the Philippines. It collects information such as the applicant's office, name, date of filing, position and salary. It asks for details of the leave such as type of leave being applied for, where the leave will be spent, and number of working days. It also has sections for certifying the applicant's leave credits, recommendations on the application, and space for the final approval or disapproval of the leave.

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f6

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Form-6

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This document is an application for leave form from the Department of Education in the Philippines. It collects information such as the applicant's office, name, date of filing, position and salary. It asks for details of the leave such as type of leave being applied for, where the leave will be spent, and number of working days. It also has sections for certifying the applicant's leave credits, recommendations on the application, and space for the final approval or disapproval of the leave.

Copyright:

© All Rights Reserved
Download as XLS, PDF, TXT or read online from Scribd
Download as xls, pdf, or txt
17 views2 pages

Application For Leave: Revised 1984

Uploaded by

Jovenill Granton VII
This document is an application for leave form from the Department of Education in the Philippines. It collects information such as the applicant's office, name, date of filing, position and salary. It asks for details of the leave such as type of leave being applied for, where the leave will be spent, and number of working days. It also has sections for certifying the applicant's leave credits, recommendations on the application, and space for the final approval or disapproval of the leave.

Copyright:

© All Rights Reserved
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CSC Form No.

6
Revised 1984
Republic of the Philippines
DEPARTMENT OF EDUCATION

APPLICATION FOR LEAVE

1. OFFICE/AGENCY: 2. NAME: (Last) ( First) (Middle)

DEPED, Division of Guihulngan City

3. DATE OF FILING: 4. POSITION: 5. SALARY (Monthly)

6. a) TYPE OF LEAVE b) WHERE LEAVE WILL BE SPENT

Vacation 1) In case of Vacation Leave


To seek Employment Within the Philippines
Others (Specify) Abroad (Specify)

2) In case of sick leave


In Hospital (Specify)
Sick leave
Maternity
Others (Specify)
Out Patient (Specify)

c) NUMBER OF WORKING DAYS APPLIED FOR d) COMMUTATION

Inclusive Dates Requested


Not Requested

(Signature of Applicant)

DETAILS OF ACTION ON APPLICATION

7. a) CERTIFICATION OF LEAVE CREDITS b) RECOMMENDATION


as of Approved
Disapproved
Vacation Sick Total
Balance
Less
Balance

Administrative Officer V Authorized Head

c) APPROVED FOR: d) DISAPPROVED DUE TO

day/s with pay


day/s without pay
Others (specify)

ANELITO A. BONGCAWIL, Ed. D.


Assistant Schools Division Superintendent

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