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Application For Leave

This document is an application for leave from Cagayan State University. It collects information such as the applicant's name, position, type of leave requested, number of days, and commutation request. It also has sections for certifying the applicant's leave credits and balances, and for the recommending and approving officials to provide actions and comments on the application. The authorized official recommends approval or disapproval and the Campus Executive Officer signs off as the final approver.

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matricx76
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44 views

Application For Leave

This document is an application for leave from Cagayan State University. It collects information such as the applicant's name, position, type of leave requested, number of days, and commutation request. It also has sections for certifying the applicant's leave credits and balances, and for the recommending and approving officials to provide actions and comments on the application. The authorized official recommends approval or disapproval and the Campus Executive Officer signs off as the final approver.

Uploaded by

matricx76
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

CAGAYAN STATE UNIVERSITY


Gonzaga, Cagayan

APPLICATION FOR LEAVE

1. Office/Agency 2. Name: Last First M.I.


CAGAYAN STATE UNIVERSITY_____________________________________________________
3. Date of Filing 4. Position 5. Salary (Monthly)

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 sickness
( ) Maternity ( ) in hospital (Specify) _______________
( ) Others (specify) _________________ ( ) out patient (specify)_______________
6(c) Number of working days applied: 6(d) Commutation
_________________ ( ) Requested ( ) Not requested

Inclusive Dates ___________________


_______________________________
__________________________
Signature of Applicant

DETAILS ON ACTION OF APPLICATION


7(a) Certification of Leave Credits 7(b) Recommendation
As of ___________________ ( ) Approved ____________________________
( ) Disapproved due to ____________________
Vacation Sick Total
_______ _______ _______
Less: _______ _______ _______
Balance:
_______ _______ _______ ____________________________
Authorized Official
_________________________________
Records Officer

7(c) Approved for: 7(d) Disapproved due to


_______days with pay _________________________________
_______days without pay _________________________________
_______others (specify) _________________________________

FERDINAND C. OLI, Ph.D.


Campus Executive Officer

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