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CSC Form 6 (Leave Form-New)

This document is an application for leave form containing details of the applicant's request. It includes the applicant's information in section 1, the type of leave requested in section 6A, and the inclusive dates of the requested leave from April 23 to 25, 2018 in section 6C. Upon review, the personnel officer recommends approval in section 7B and the executive judge approves the request for 3 days with pay in section 7C.

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0% found this document useful (0 votes)
266 views

CSC Form 6 (Leave Form-New)

This document is an application for leave form containing details of the applicant's request. It includes the applicant's information in section 1, the type of leave requested in section 6A, and the inclusive dates of the requested leave from April 23 to 25, 2018 in section 6C. Upon review, the personnel officer recommends approval in section 7B and the executive judge approves the request for 3 days with pay in section 7C.

Uploaded by

anon_478717583
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 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


3 days Requeste Not Requested
Inclusive Dates
April 23 to 25, 2018
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approval


3 Disapproval due to
days days days

Personnel Officer oic


7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay
_______ Others (specify)

Signature

Executive Judge

Date: _________________
Requested

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