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Application For Leave: Use This Form For Senior High School

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Loreta Manaol Vinculado

This document is an application for leave form used by a school. It collects information such as the applicant's name and position, type of leave requested, number of days, dates and certification of leave credits. It has sections for the applicant's details and signature, as well as spaces for recommending and approving officials to sign off on the application.

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© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt

Application For Leave: Use This Form For Senior High School

Uploaded by

Loreta Manaol Vinculado
52 views6 pages
This document is an application for leave form used by a school. It collects information such as the applicant's name and position, type of leave requested, number of days, dates and certification of leave credits. It has sections for the applicant's details and signature, as well as spaces for recommending and approving officials to sign off on the application.

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form 6

Original Title

FORM-6

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This document is an application for leave form used by a school. It collects information such as the applicant's name and position, type of leave requested, number of days, dates and certification of leave credits. It has sections for the applicant's details and signature, as well as spaces for recommending and approving officials to sign off on the application.

Copyright:

© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt
52 views6 pages

Application For Leave: Use This Form For Senior High School

Uploaded by

Loreta Manaol Vinculado
This document is an application for leave form used by a school. It collects information such as the applicant's name and position, type of leave requested, number of days, dates and certification of leave credits. It has sections for the applicant's details and signature, as well as spaces for recommending and approving officials to sign off on the application.

Copyright:

© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt
You are on page 1/ 6

CSC Form 6 Use this form for Senior High School

Revised 1998

APPLICATION FOR LEAVE


1. School (SHS) 2. Name (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

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)

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


Requested Not Requested
Inclusive Dates

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of
Approval
Vacation Sick Total Disapproval due to

days days days

DEXTER E. PANGILINAN
Administrative Officer - IV School Head / Immediate Supervisor
7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

Rowena T. Quiambao, CESE


OIC- Asst. Schools Division Supt. (Secondary)
Date: _________________
CSC Form 6
Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency/School 2. Name (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

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)

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


Requested Not Requested
Inclusive Dates

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of
Approval
Vacation Sick Total Disapproval due to

days days days

DEXTER E. PANGILINAN
Administrative Officer - IV School Head / Immediate Supervisor
7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

Rowena T. Quiambao, CESE


OIC- Asst. Schools Division Supt. (Secondary)
Date: _________________
CSC Form 6
Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency/School 2. Name (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

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)

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


Requested Not Requested
Inclusive Dates

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of
Approval
Vacation Sick Total Disapproval due to

days days days

DEXTER E. PANGILINAN
Administrative Officer - IV School Head / Immediate Supervisor
7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

LEONARDO C. CANLAS,Ed.,D.CESE
OIC-Asst. Schools Division Superintendent
Date: _________________
CSC Form 6 Use this form for Travel Abroad Only
Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency/School 2. Name (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

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)

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


Requested Not Requested
Inclusive Dates

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of
Approval
Vacation Sick Total Disapproval due to

days days days

DEXTER E. PANGILINAN Leonardo D. Zapanta, Ed.D. CESO VI


Administrative Officer - IV OIC- Schools Division Supt.
7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

Nicolas T. Capulong, Ph.D., CESO VI


Asst. Regional Director, OIC
Date: _________________
CSC Form 6
Revised 1998

APPLICATION FOR LEAVE

1. Office/Agency/School 2. Name (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

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)

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


Requested Not Requested
Inclusive Dates

Signature of Applicant

DETAILS OF ACTION ON APPLICATION


7. A) Certification of Leave Credits 7. B) Recommendation:
as of
Approval
Vacation Sick Total Disapproval due to

days days days

DEXTER E. PANGILINAN

Administrative Officer - IV School Head / Immediate Supervisor


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

Signature

ZENIA G. MOSTOLES.Ed.D.,CESO V
Schools Division Superintendent
Date: _________________

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