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Application For Leave: Date Entered Service

This document is an application for leave form submitted by an employee. It provides details such as the applicant's office, name, date of application, rank/position, salary, type of leave requested such as vacation or sick leave, number of working days applied for, inclusive dates of leave, and details of the action taken on the application including certification of leave credits, recommendations for approval or disapproval, and the final approval or disapproval decision.

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Einno Snow
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141 views

Application For Leave: Date Entered Service

This document is an application for leave form submitted by an employee. It provides details such as the applicant's office, name, date of application, rank/position, salary, type of leave requested such as vacation or sick leave, number of working days applied for, inclusive dates of leave, and details of the action taken on the application including certification of leave credits, recommendations for approval or disapproval, and the final approval or disapproval decision.

Uploaded by

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

CC Form No. 6
Revised 1994
Date Entered Service:
9

1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle) (QLFR) ( Badge Nr)

3. DATE OF FILLING 4.RANK/ POSITION & STATUS OF APPMT 5. SALARY

6a. TYPE OF LEAVE 6b. WHERE WILL BE SPEND


( ) VACATION IN CASE OF VACATION LEAVE:
( ) To seek employment ( ) Within the Philippines
( ) Others (specify) ( ) Abroad (Specify)
______________________________
______________________________
______________________________ IN CASE OF SICK LEAVE:
( ) In Hospital (Specify)___________________
( ) SICK ( ) Out Patient (Specify) __________________
( ) MATERNITY
( ) Others (Specify) 8 7748909 8
_ ________ _____________

7c. NO OF WORKING DAYS APPLIED FOR: d. COMMUTATION

( ) Requested
( ) Not Requested
INCLUSIVE DATES:

_______________________
(Signature of Applicant)

ADDRESS:

DETAILS OF ACTION OF APPLICATION

8a. CERTIFICATION OF LEAVE CREDITS b. RECOMMENDATION

As of _______________________ ( ) Approval
( ) Disapproved due to:
Vacation Sick Total
____________________________________

Admin PNCO (Authorized Official)


9a. APPROVED FOR: b. DISAPPROVED DUE TO:

_____________ Days with pay _____________________


_____________ Days without pay _____________________
_____________ Others (Specify) _____________________

________________________________
FERDINAND ORCALES DIVINA
Police Senior Superintendent
Acting Provincial Director, Bulacan PPO

Date:___________________

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