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Application For Leave: Details of Action of Applicant

This document contains three applications for leave from teachers. The first application is from Teacher Ronsang Femarie Dalayday for 1 day of vacation leave on March 4, 2021. The second application is from Teacher Banawa Lizel Lapasen for 1 day of sick leave on March 17, 2021. The third application is from Teacher Ronsang Femarie Dalayday for 1 day of leave to attend a burial on March 1, 2021.
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0% found this document useful (0 votes)
119 views

Application For Leave: Details of Action of Applicant

This document contains three applications for leave from teachers. The first application is from Teacher Ronsang Femarie Dalayday for 1 day of vacation leave on March 4, 2021. The second application is from Teacher Banawa Lizel Lapasen for 1 day of sick leave on March 17, 2021. The third application is from Teacher Ronsang Femarie Dalayday for 1 day of leave to attend a burial on March 1, 2021.
Copyright
© © All Rights Reserved
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)
PALITOD ES/ DEPED RONSANG FEMARIE DALAYDAY
3. Date of Filing 4. Position 5. Monthly Salary 6. Employee Number
March 5, 2021 Teacher 1 P 24,161.00 6307158
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
______________ In hospital (Specify)
Maternity

Others (Specify)

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


Requested Not Requested
1 day
Inclusive Dates:

March 4, 2021 _______________________________


Signature of Applicant

DETAILS OF ACTION OF APPLICANT


7. A) Certificate 0f Leave Credits: 7. B) Recommendation:
as of _________________________

APPROVAL
VACATION SICK TOTAL
EARNED Disapproved due to
USED _________________________________
BALANCE

DONNALYN B. CHALACAN TESSIE M. LUCAS, Ph.D


Authorized Official Authorized Official

7. C) Approved for: 7. D) Disapproved due to:


________ days with pay
________ days without pay __________________________________

__________________________________

__________________________
Signature

VIRGINIA A. BATAN, CESE


Assistant Schools Division Superintendent
Date: ______________________
CSC Form 6
Revised 1998
APPLICATION FOR LEAVE
2. Office/Agency 2. NAME: (Last} First) (Middle)
PALITOD ES/ DEPED BANAWA LIZEL LAPASEN
3. Date of Filing 4. Position 5. Monthly Salary 6. Employee Number
March 18, 2021 Teacher 3 P 28,567.00 4458120
DETAILS OF APPLICATION
6. A) Type of Leave 6. B) Where Leave will be spent:

VACATION 3. In case of Vacation Leave


To seek employment Within the Philippines

Others (Specify) Abroad (Specify)


______________________________ __________________________
/ Sick 4. In case of Sick Leave
______________ In hospital (Specify)
Maternity

Others (Specify)

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


Requested Not Requested
1 day
Inclusive Dates:

March 17, 2021 _______________________________


Signature of Applicant

DETAILS OF ACTION OF APPLICANT


7. A) Certificate 0f Leave Credits: 7. B) Recommendation:
as of _________________________

APPROVAL
VACATION SICK TOTAL
EARNED Disapproved due to
USED _________________________________
BALANCE

DONNALYN B. CHALACAN TESSIE M. LUCAS, Ph.D


Authorized Official Authorized Official

7. C) Approved for: 7. D) Disapproved due to:


________ days with pay
________ days without pay __________________________________

__________________________________

__________________________
Signature

VIRGINIA A. BATAN, CESE


Assistant Schools Division Superintendent
Date: ______________________
CSC Form 6
Revised 1998
APPLICATION FOR LEAVE
3. Office/Agency 2. NAME: (Last} First) (Middle)
PALITOD ES/ DEPED RONSANG FEMARIE DALAYDAY
3. Date of Filing 4. Position 5. Monthly Salary 6. Employee Number
March 2, 2021 Teacher 1 P 24,161.00 6307158
DETAILS OF APPLICATION
6. A) Type of Leave 6. B) Where Leave will be spent:

VACATION 5. In case of Vacation Leave


To seek employment Within the Philippines

Others (Specify) Abroad (Specify)


______________________________ __________________________
Sick 6. In case of Sick Leave
______________ In hospital (Specify)
Maternity

Others (Specify)

Attended burial of my sister-in-law,


Loreanne Jane Ronsang Laciste

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


Requested Not Requested
1 day
Inclusive Dates:

March 1, 2021 _______________________________


Signature of Applicant

DETAILS OF ACTION OF APPLICANT


7. A) Certificate 0f Leave Credits: 7. B) Recommendation:
as of _________________________

APPROVAL
VACATION SICK TOTAL
EARNED Disapproved due to
USED _________________________________
BALANCE

DONNALYN B. CHALACAN TESSIE M. LUCAS, Ph.D


Authorized Official Authorized Official

7. C) Approved for: 7. D) Disapproved due to:


________ days with pay
________ days without pay __________________________________

__________________________________

__________________________
Signature
VIRGINIA A. BATAN, CESE
Assistant Schools Division Superintendent
Date: ______________________

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