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Application For Leave

Julius Harvey Balbas Prieto, an Election Officer III at the Commission on Elections, is applying for sick leave from July 26, 2017 due to body pain and severe colds. He is requesting to use his accumulated sick leave credits of unspecified number of days. The application requires review and approval by authorized officials at the Commission on Elections.

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Julius Harvey Prieto Balbas
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69 views

Application For Leave

Julius Harvey Balbas Prieto, an Election Officer III at the Commission on Elections, is applying for sick leave from July 26, 2017 due to body pain and severe colds. He is requesting to use his accumulated sick leave credits of unspecified number of days. The application requires review and approval by authorized officials at the Commission on Elections.

Uploaded by

Julius Harvey Prieto Balbas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION FOR LEAVE

CSC Form No. : 6


REVISED 1984 BALBAS JULIUS HARVEY PRIETO
1. OFFICE/AGENCY :2. NAME (LAST) (FIRST) (MIDDLE)
COMMISSION ON ELECTIONS :

3. DATE OF FILING : 4. DESIGNATION 5: SALARY (Monthly)


APRIL 25, 2017 ELECTION OFFICER III__ P_36, 960____
6. DETAILS OF APPLICATION
(a) TYPE OF LEAVE (b) WHERE LEAVE WILL BE SPENT
(1) IN CASE OF VACATION LEAVE

Vacation

To seek employment___________________ _____ Within the Philippines

Others (Specify)
_____ Abroad (Specify):

(2) IN CASE OF SICK LEAVE

Sick _____ In Hospital (Specify) ___________________________


____________________________________________
Maternity

Others (Specify) ___________________ _____ Out-Patient(Specify):Body Pain and Severe Colds


________________________________ ________________________________________

(c) NUMBER OF WORKING DAYS (d) COMMUTATION


APPLIED FOR
_____Requested _____Not Requested
INCLUSIVE DATES: July 26, 2017

________________________________
(Signature of Applicants)

7. DETAILS OF ACTION ON APPLICANT


(a) RECOMMENDATION(*) (b) CERTIFICATION OF LEAVE CREDITS
AS OF _________________________
____________________________________________
Approval : Vacation : Sick : Total :
:_____________ :_________________:_________________:
: : : :
: : : :
: : : :
: Days : Days : Days
Disapproval due to ___________________ _________________________________________________

ATTY. ALIPIO ALONZO S. CASTILLO III


(Authorized Officials) (Personnel Manager)
(c) APPROVED FOR : DISAPPROVED DUE TO:
__________ Days with pay __________________________________________
__________ Days without pay __________________________________________
__________ Others (Specify) __________________________________________

(Executive Director / Asst. Exec. Director for Administration or Operations)

DATE : ______________________________________

(*) Recommendation for approval or disapproval shall be signed by the head of the office or department in which the
applicant for leave is holding office. For field personnel, the Election Registrar shall sign in case of Election Clerk; the
PES in case of Election Registrar and staff of the PES; and the Regional director in case if PES and staff REDO.

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