Application For Leave: Details of Action of Applicant
Application For Leave: Details of Action of Applicant
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:
Others (Specify)
APPROVAL
VACATION SICK TOTAL
EARNED Disapproved due to
USED _________________________________
BALANCE
__________________________________
__________________________
Signature
Others (Specify)
APPROVAL
VACATION SICK TOTAL
EARNED Disapproved due to
USED _________________________________
BALANCE
__________________________________
__________________________
Signature
Others (Specify)
APPROVAL
VACATION SICK TOTAL
EARNED Disapproved due to
USED _________________________________
BALANCE
__________________________________
__________________________
Signature
VIRGINIA A. BATAN, CESE
Assistant Schools Division Superintendent
Date: ______________________