Study Leave

Study Leave Pro-Forma Service Contract
KNOW ALL MEN BY THESE PRESENTS:
This AGREEMENT, made and executed at ______________________ this

[place of execution]
______day of________,20___, by the ____________________________________

(date) [month] [year] [name of agency]
with postal address at ________________________________________________,

[address of agency]
and represented herein by____________________________________, hereinafter
[head of agency]
referred to as GRANTOR,
- and –
____________________________________, and employee of the GRANTOR, and

[Name of Grantee]
presently residing at ________________________________________________,

[Address of Grantee]
hereinafter referred to as the GRANTEE,
WITNESSETH:
WHEREAS, pursuant to Civil Service Commission Memorandum Circular No.

14, s. 1999 amended by MC No. 21, s. 2004, the GRANTEE applied to go on study
leave on official time for a period of not more than six (6) months to attend bar/board
review classes (or for a period of not more than four [4] months to complete a
master’s degree);
WHEREAS, the GRANTEE is qualified to avail of the study leave;

NOW, THEREFORE, the parties have agreed, that the GRANTOR shall authorize
the GRANTEE to go on official leave with pay for a period of six [6] months (or four
[4] months for completing a master’s degree) commencing from
_____________________________, under the following terms and conditions:
[inclusive dates]
I. OBLIGATIONS OF THE GRANTOR
1. Authorize the Grantee to go on study leave for a period of six [6] months to
review and take the bar/board examinations (or four [4] months for completing
a master’s degree);
2. Relieve the GRANTEE of all duties and responsibilities for the duration of the
study leave;
3. Pay the salary, allowances and other benefits of the grantee during the six-
month study leave
II. OBLIGATIONS OF THE GRANTEE
1. Render two [2] years service obligation with the ________________________

[Name of Agency]
for the six-months bar/board review leave (or four-months master’s degree
completion leave];
2. In case of failure to render in full, the required service obligation referred to in

the contract on account of voluntary resignation, optional retirement, or
separation from the service through one’s fault, or other causes within one’s
control, refund to the _________________________________ gross salary,
[Name of Agency]
allowances and other benefits received-proportionate to the balance of the service
obligation based on the following computed formula:
R = [SOR-SOS] x TCR
SOR
Where R = Refund
TCR = Total Compensation Received [gross salary,
allowances, and other benefits received
while on study leave]
SOS = Service Obligation Served
SOR = Service Obligation Required
3. Inform the agency through the HRD/Personnel Office, the failure or

discontinuance to take the bar/board examination (or to complete the master’s
degree) and pay the agency the corresponding salaries, allowances and other
benefits received during the period of leave.
4. Report for work the day after the expiration of the study leave, otherwise, shall
be considered absent without official leave [AWOL].
IN WITNESS WHEREOF, the parties herein have hereunto set their respective
signatures this ________________ day of _____________________, 20____, at
[Date] [Month] [Year]
________________________________________________.
[Place]
_________________________________________
[Name of Agency]
_______________________________ _______________________________
[GRANTOR] [GRANTEE]
SIGNED IN THE PRESENCE OF:
______________________ ______________________
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES )

QUEZON CITY, METRO MANILA ) S.S.
BEFORE ME, this ______ day of ________________, 20_____, ______________,

personally appeared to me ______________________________, with Community
[Head of Agency]
Tax Certificate No. ____________________ issued at _______________on ______
representing the ______________________________and ____________________
[Name of Agency] [Name of Grantee]
with Community Tax Certificate No. ____________ issued at ________________ on
___________________ both known to me to be the same persons who executed the
foregoing agreement, and they both acknowledgement to me that the same is their
free act and dead.
This instrument consisting of ______ pages including this page in which the
acknowledgement is written, has been signed on the left margin of each and every
page thereof by the party and their witnesses.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my

notarial seal on this ____________day of __________at ________________,
Philippines.
Doc. No. _______________________

Page No. _______________________
Book No. _______________________
Series of _______________________

Study Leave

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Study Leave Pro-Forma Service Contract

KNOW ALL MEN BY THESE PRESENTS:

This AGREEMENT, made and executed at ______________________ this

______day of________,20___, by the ____________________________________

with postal address at ________________________________________________,

____________________________________, and employee of the GRANTOR, and

presently residing at ________________________________________________,

hereinafter referred to as the GRANTEE,

WHEREAS, pursuant to Civil Service Commission Memorandum Circular No.

WHEREAS, the GRANTEE is qualified to avail of the study leave;

I. OBLIGATIONS OF THE GRANTOR

II. OBLIGATIONS OF THE GRANTEE

1. Render two [2] years service obligation with the ________________________

2. In case of failure to render in full, the required service obligation referred to in

3. Inform the agency through the HRD/Personnel Office, the failure or

REPUBLIC OF THE PHILIPPINES )

BEFORE ME, this ______ day of ________________, 20_____, ______________,

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my

Doc. No. _______________________

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BEFORE ME, this day of ________, 20_, ____________,