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    Form 6 Leave Application Form

    Uploaded by

    Nard Lastimosa
    The document is an application form for requesting leave from a job. It collects information such as the office, applicant name, date of filing, position and salary. It asks for details of the leave application such as the type of leave (e.g. vacation, sick), where the leave will be spent, number of working days requested, and whether commutation is requested. The form also documents the approval process including certification of leave credits and balances, the authorized official's recommendation, and the approving authority's signature. Instructions are provided at the bottom on how to properly file the leave application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Form 6 Leave Application Form

    Uploaded by

    Nard Lastimosa
    558 views1 page
    The document is an application form for requesting leave from a job. It collects information such as the office, applicant name, date of filing, position and salary. It asks for details of the leave application such as the type of leave (e.g. vacation, sick), where the leave will be spent, number of working days requested, and whether commutation is requested. The form also documents the approval process including certification of leave credits and balances, the authorized official's recommendation, and the approving authority's signature. Instructions are provided at the bottom on how to properly file the leave application.

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    FORM-6-LEAVE-APPLICATION-FORM.doc

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    The document is an application form for requesting leave from a job. It collects information such as the office, applicant name, date of filing, position and salary. It asks for details of the leave application such as the type of leave (e.g. vacation, sick), where the leave will be spent, number of working days requested, and whether commutation is requested. The form also documents the approval process including certification of leave credits and balances, the authorized official's recommendation, and the approving authority's signature. Instructions are provided at the bottom on how to properly file the leave application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    558 views1 page

    Form 6 Leave Application Form

    Uploaded by

    Nard Lastimosa
    The document is an application form for requesting leave from a job. It collects information such as the office, applicant name, date of filing, position and salary. It asks for details of the leave application such as the type of leave (e.g. vacation, sick), where the leave will be spent, number of working days requested, and whether commutation is requested. The form also documents the approval process including certification of leave credits and balances, the authorized official's recommendation, and the approving authority's signature. Instructions are provided at the bottom on how to properly file the leave application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    CS FORM NO.

    6
    Revised 1984

    APPLICATION FOR LEAVE

    1. OFFICE/DISTRICT 2. NAME (LAST) (FIRST) (MIDDLE)

    3. DATE OF FILING 4.POSITION 5. SALARY (MONTHLY)

    D E TAI LS O F APPLI CAT I O N


    6. A) TYPE OF LEAVE B) WHERE LEAVE WILL BE SPENT
    (1) IN CASE OF VACATION LEAVE
    Vacation Within the Philippines
    Abroad (specify)_______________
    To seek employment _____________________________
    Other (specify) __________________
    (2) IN CASE OF SICK LEAVE
    Sick In Hospital (specify) ____________
    Maternity _____________________________
    Others (specify) Out Patient (specify)
    ___________
    _____________________________________ ____________________________
    C) NUMBER OF WORKING DAYS APPLIED FOR D) COMMUTATION
    _________________ days
    INCLUSIVE DATES _____________________ Requested Not Requested

    _________________________________________
    (Signature of Applicant)
    D E TAI LS O F AC T I O N O N APPLI CAT I O N

    7. A) CERTIFICATION OF LEAVE CREDITS B) RECOMMENDATION


    Approved
    TOTAL
    TOTAL EARNED
    EARNED LEAVE
    LEAVE VL
    VL SL
    SL
    AsAs
    of of ______________
    ______________ __________
    __________ _________
    _________
    TOTAL
    TOTAL LEAVE
    LEAVE ENJOYED:
    ENJOYED: __________
    __________ _________
    _________ Disapproved due to____________
    Balance as of
    Balance as of __________
    __________ _________
    _________
    Less thisthis
    Less application
    application __________
    __________ _________
    _________
    Balance as
    Balance as of of __________
    __________ _________
    _________ __________________________
    (Authorized Official)
    FERMIN M. ALBUTRA
    (Personnel Officer)
    C) APPROVED FOR D) DISAPPROVED DUE TO
    ______________days
    ______________ dayswith
    withpay
    pay ______________________________________
    ______________days
    ______________ dayswithout
    withoutpay
    pay ______________________________________
    ______________ Others (specify)
    ______________ Other (specify)

    ____________________________
    (Signature)

    WILFREDA D. BONGALOS
    Schools Division Superintendent
    DATE: ______________

    INSTRUCTIONS

    1. Application for vacation or sick leave for one full day or more shall be made on this Form and to be accomplished
    at least in duplicate.
    2. Application for vacation leave shall be filed in advance or whenever possible five (5) days before going on such
    leave.
    3. Application for sick leave filed in advance, or exceeding five (5) days shall be accompanied by a medical
    certificate.
    4. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding to the
    period of his unauthorized leave of absence.
    5. An application for leave of absence for thirty (30) calendar days or more shall be accompanied by a clearance
    from money and property accountabilities.

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