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Application For Leave

This document is an application for leave submitted by Jonathan Dumagpi, a teacher at Deped-Cebu Province Arcelo MNHS in Liloan District. It provides details of his request for vacation leave, including the dates and number of working days he is applying for. The application includes sections for certifying his leave credits, recommending approval or disapproval of the request, and the authorized official's approval or disapproval.

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Jay Bee
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73 views

Application For Leave

This document is an application for leave submitted by Jonathan Dumagpi, a teacher at Deped-Cebu Province Arcelo MNHS in Liloan District. It provides details of his request for vacation leave, including the dates and number of working days he is applying for. The application includes sections for certifying his leave credits, recommending approval or disapproval of the request, and the authorized official's approval or disapproval.

Uploaded by

Jay Bee
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/ Agency 2. Name (Last) (First) (Middle)
Deped-Cebu Province Arcelo MNHS (Liloan Dist.) BAYNO JONATHAN DUMAGPI

3. Date of Filing 4. Position 5. Salary


TEACHER 1 Php 242, 148.00
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


________________________ 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


Approval
days days days Disapproval due to
______________________________

_______________________________ FLORIZA Q. PITOGO


Authorized Official Authorized Official
7. C) Approved for: 7. D) Disapproved due to:
__________ days with pay ________________________
__________ days without pay ________________________
____________________________________
Signature
____________________________________
Authorized Official

Date: __________________

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