Scribd
Upload
40 views

Application For Leave

SPO2 Ulyses Janaban has applied for 3 days of privilege leave from November 26-28, 2018. He is requesting the leave to be charged against his leave credits. The application requires certification of his leave balances and recommendation from his commanding officer for approval by the authorized official.

Uploaded by

Rias Camp Ola
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
40 views

Application For Leave

SPO2 Ulyses Janaban has applied for 3 days of privilege leave from November 26-28, 2018. He is requesting the leave to be charged against his leave credits. The application requires certification of his leave balances and recommendation from his commanding officer for approval by the authorized official.

Uploaded by

Rias Camp Ola
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
You are on page 1/ 1

APPLICATION FOR LEAVE

CSC Form No. 6


Revised 1984
PNP RIAS5 SPO2 Cruz, Ulyses Janaban
1. OFFICE/AGENCY 2. NAME (LAST) FIRST MIDDLE

October 23, 2018 IAD PNCO Perm 34, 079.00


3. DATE OF FILING 4. POSITION (STATUS OF APPTMNT) 5. SALARY

(DETAIL 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) Mandatory Leave [ ] ABROAD (SPECIFY)____

[/] SICK 2. IN CASE OF SICK LEAVE


In Hospital (Specify)
[ ] MATERNITY/PATERNITY
________________________________
[/ ] OTHERS (SPECIFY) Privilege leave (OUT PATIENT) SPECIFY

6.c) NUMBER OF WORKING DAYS 6. d) COMMUTATION


APPLIED FOR:
_____ __3 days_ ________
[ ] Requested [ ] Not Requested
Inclusive Date:

_Novemebr 26-28, 2018

Signature of Applicant
And Address
600 Barlin St., Sampaloc, Sorsogon City

DETAILS OF ACTION APPLICATION

7.a) CERTIFICATION OF LEAVE CREDITS 7.b) RECOMMENDATION


as of _____________________________ [ ] Approval
[ ] Disapproval due to_______
______________________
VACATION SICK TOTAL

PINSP ELISEO L BERCASIO


OIC, AFMD, RIAS5
(Personnel Officer)

============================================================================

APPROVED FOR DISAPPROVED DUE TO


______________ Days with pay ________________________
______________ Days without pay ________________________
______________ Others (Specify) ________________________

LEO ANGELO D. LEUTERIO


POLICE DIRECTOR
Deputy Inspector General, IAS
(Authorized Official)

You might also like