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CSC Form 6 (Leave Form-New)

The document is an application for leave form that collects information such as the applicant's name, position, type of leave being applied for, number of days, and certification and recommendation sections for approval.

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Orlan
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25 views

CSC Form 6 (Leave Form-New)

The document is an application for leave form that collects information such as the applicant's name, position, type of leave being applied for, number of days, and certification and recommendation sections for approval.

Uploaded by

Orlan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, 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)

3. Date of Filing 4. Position 5. Salary

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


Disapproval due to
days days days

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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