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Application For Leave: Signature of Applicant

This document is an application for leave form containing the applicant's details such as name, position, salary, type of leave being applied for, number of working days, and certification of leave credits. It also contains sections for recommendation and approval or disapproval of the application by the School Head and Schools Division Superintendent. The key information provided are that this form is for applying vacation or sick leave of one day or more, and that vacation leave applications should be filed at least 5 days in advance whenever possible.

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Ledelou Ledesma Loren
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43 views

Application For Leave: Signature of Applicant

This document is an application for leave form containing the applicant's details such as name, position, salary, type of leave being applied for, number of working days, and certification of leave credits. It also contains sections for recommendation and approval or disapproval of the application by the School Head and Schools Division Superintendent. The key information provided are that this form is for applying vacation or sick leave of one day or more, and that vacation leave applications should be filed at least 5 days in advance whenever possible.

Uploaded by

Ledelou Ledesma Loren
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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CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/School/District 2. NAME (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

DETAILS FOR APPLICATION


6. A.)Type of Leave 6. B.) Where Leavewill be spent:
1.In case of Vacation Leave
Vacation
Seek Employment Within the Philippines
Others (specify) Abroad (specify)
________________________________________
_______________________________________
2. In case of sick Leave (Please tick one)
Sick
Maternity In hospital(specify) ________________________
Other (Specify) Out Patient (specify) ______________________

___________________________________________

6. C.) Number of Working Days applied for: 6. D. ) Commutation

________________________________ Requested Not Requested

Inclusive Dates:
________________________________________
________________________________ Signature of Applicant

DETAILS OF ACTION ON APPLICATION


7. A.) Certification of Leave Credits 7. B.) Recommendation:
as of ______________________________

Vacation Sick Total Approved :


Balance
before Disapproved due to
deduction
Deduction

Balance
after days days days _________________________________
deduction School Head

EPPIE P. CABRERA, AO-IV


HRMO
7. C.) Approved for: 7. D.) Disapproved due to
__________days
with pay
________days without pay

MARILOU B. DEDUMO, Ph.D., CESO V


Schools Division Superintendent
Date:_______________________

1. Application for vacation/sick leave for one day or more shall be made on the form to be accomplished at least in duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible 5 days before such leave.

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