Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
0% found this document useful (0 votes)
21 views3 pages

CSC Form 6 (Leave Form-New)

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1/ 3

CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
EMB 8 FABILE KAREN PATRICIA ALMOCERA
3. Date of Filing 4. Position 5. Salary
APRIL 2, 2019 EMS II
DETAILS OF APPLICATION
6. A) Type of Leave 6. B) Where Leave will be spent:
Vacation 1. In case of Vacation Leave
To seek employment Within the Philippines
Others (Specify) Abroad (Specify)

Sick 2. In case of Sick Leave


Maternity In hospital (Specify)
Others (Specify)
FORCED LEAVE

6. C) Number of Working Days applied for: 6. D) Commutation


2 Requeste Not Requested
Inclusive Dates
APRIL 8 & 10, 2019
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approval


Disapproval due to
days days days

Authorized Official Authorized Official


7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

Authorized Official
Date: _________________
Requested

You might also like