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CSC FORM 6 Application For Leave For Teaching Personnel

This document is an application for leave form for teachers in the Philippines. It collects information such as the applicant's name, position, dates of leave requested, and type of leave. The form requires certification of available leave credits and signatures from the school head and superintendent to recommend approval or disapproval of the leave application. It is to be used for requesting leaves of absence from 1 to 60 calendar days for certain teacher positions.

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Jervis Roy Mendez
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55 views

CSC FORM 6 Application For Leave For Teaching Personnel

This document is an application for leave form for teachers in the Philippines. It collects information such as the applicant's name, position, dates of leave requested, and type of leave. The form requires certification of available leave credits and signatures from the school head and superintendent to recommend approval or disapproval of the leave application. It is to be used for requesting leaves of absence from 1 to 60 calendar days for certain teacher positions.

Uploaded by

Jervis Roy Mendez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FOR TEACHING (T1 – MT)

CSC Form 6
Revised 1984

APPLICATION FOR LEAVE (SCHOOL FORM)

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

3. DATE OF FILING 4. POSITION/EMPLOYEE NO. 5. MONTHLY 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)_______________
__________________________ _____________________________ Fill-up
[ ] Sick IN CASE OF SICK LEAVE according
[ ] Maternity [ ] In hospital (specify) ____________ to the
[ ] Others (specify) __________________ _____________________________ document
_______________________________ [ ] Out patient (specify) ___________ attached
(ex.
_____________________________ medical
6. c) NUMBER OF WORKING DAY/S APPLIED (2) COMMUTATION certificate)
[ ] Requested [ ] Not Requested
For __________________________day/s)

Inclusive Dates ________________________ ______________________________


(Signature of Applicant)
___________________________________

DETAILS ON ACTION ON APPLICATION


7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of ______________________________ [ ] Approval
[ ] Disapproval due to _______________
Vacation Sick Total _______________________________

Days Days Days

_________________________
School Head

MAGDALENA A. LUCILLO
Administrative Officer IV – HRMO
7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:

____________ day/s with pay _________________________________


____________ day/s without pay _________________________________
____________ others (specify)
Approved:

LEONARDO C. CANLAS EdD, CESO VI


Assistant Schools Division Superintendent
Date: _______________

Note: Use this form for leave of absence of Teacher I – III and Master Teacher I – II for up to 60 calendar days.
FOR TEACHING (T1 – MT)
CSC Form 6
Revised 1984

APPLICATION FOR LEAVE (SCHOOL FORM)

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

3. DATE OF FILING 4. POSITION/EMPLOYEE NO. 5. MONTHLY SALARY

DETAILS OF APPLICATION
6. a) TYPE OF LEAVE: 6. b) WHERE LEAVE WILL BE SPENT:
[ ] Vacation (1) IN CASE OF VACATION LEAVE
Fill-up
[ ] To seek employment [ ] Within the Philippines according
[ ] Others (specify ______________ [ ] Abroad (specify)_______________ to the
__________________________ _____________________________ document
[ ] Sick IN CASE OF SICK LEAVE attached
[ ] Maternity [ ] In hospital (specify) ____________ (ex.
[ ] Others (specify) __________________ _____________________________ medical
_______________________________ [ ] Out patient (specify) ___________ certificate)
_____________________________
6. c) NUMBER OF WORKING DAY/S APPLIED (2) COMMUTATION
[ ] Requested [ ] Not Requested
For __________________________day/s)

Inclusive Dates ________________________ ______________________________


(Signature of Applicant)
___________________________________

DETAILS ON ACTION ON APPLICATION


7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
As of ______________________________ [ ] Approval
[ ] Disapproval due to _______________
Vacation Sick Total _______________________________

Days Days Days


____________________________
School Head

MAGDALENA A. LUCILLO LEONARDO C. CANLAS EdD, CESO VI


Administrative Officer IV – HRMO Assistant Schools Division Superintendent

7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:

____________ day/s with pay _________________________________


____________ day/s without pay _________________________________
____________ others (specify)
Approved:

NORMA P. ESTEBAN EdD, CESO V


Schools Division Superintendent
Date: _______________
Note: Use this form for leave of absence of Teacher I – III and Master Teacher I – II for more than 60 calendar
days to one (1) year.

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