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    CSC Form6

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    Raymond Gorda
    This document is an application for study leave submitted by Raymond A. Gorda, a Secondary School Teacher III at Cawayan National High School who is detailed at Galutan National High School. He is requesting leave from April 4, 2016 to March 31, 2017 to pursue further studies. The application includes his personal details, position and salary information. It requires recommendations from his immediate head and the administrative officer on his leave credits and approval by the Schools Division Superintendent.

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    © All Rights Reserved
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    CSC Form6

    Uploaded by

    Raymond Gorda
    899 views1 page
    This document is an application for study leave submitted by Raymond A. Gorda, a Secondary School Teacher III at Cawayan National High School who is detailed at Galutan National High School. He is requesting leave from April 4, 2016 to March 31, 2017 to pursue further studies. The application includes his personal details, position and salary information. It requires recommendations from his immediate head and the administrative officer on his leave credits and approval by the Schools Division Superintendent.

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    leave form

    Original Title

    CSC FORM6

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    This document is an application for study leave submitted by Raymond A. Gorda, a Secondary School Teacher III at Cawayan National High School who is detailed at Galutan National High School. He is requesting leave from April 4, 2016 to March 31, 2017 to pursue further studies. The application includes his personal details, position and salary information. It requires recommendations from his immediate head and the administrative officer on his leave credits and approval by the Schools Division Superintendent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    899 views1 page

    CSC Form6

    Uploaded by

    Raymond Gorda
    This document is an application for study leave submitted by Raymond A. Gorda, a Secondary School Teacher III at Cawayan National High School who is detailed at Galutan National High School. He is requesting leave from April 4, 2016 to March 31, 2017 to pursue further studies. The application includes his personal details, position and salary information. It requires recommendations from his immediate head and the administrative officer on his leave credits and approval by the Schools Division Superintendent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    Regional Office No. VIII (Eastern Visayas)
    DIVISION OF NORTHERN SAMAR
    Catarman, Northern Samar

    CSC Form 6
    (Revised 2015)

    APPLICATION FOR LEAVE


    1. Office/Agency
    DepED Northern Samar
    Cawayan National High School
    (detailed at Galutan National High School)
    2. Name:

    GORDA,

    RAYMOND

    (Last Name)

    (First Name)

    3. Date of Filing:

    May 2, 2016
    6. a. Type of Leave
    Vacation Leave
    To seek employment
    Forced Leave
    Sick Leave
    Maternity Leave
    Others (Please specify)

    Study Leave

    Employee ID/Number:
    0010819
    (detailed
    at
    Galutan
    National High School)
    School/Office:
    Catarman IV
    District:
    Employee Contact Number:
    09093837760

    ARNIO
    (Middle Name)

    4. Position:
    5. Monthly Salary:

    Secondary School Teacher III


    Php 22,328.00

    6.b. Where leave will be spent in case of Vacation Leave?

    In case of Sick Leave, please specify the place of recovery.

    Commutation
    7.

    Requested
    Not Requested

    Number of working days applied:


    Inclusive dates: April 4, 2016 - March 31, 2017

    RAYMOND A. GORDA
    (Signature over Printed Name of Employee)

    TERESITA C. MARINO
    (Signature over Printed Name of Immediate Head)

    7. A. Certification of Leave Credits


    Vacation Leave
    Credits

    Sick Leave Credits

    DETAILS OF ACTION ON APPLICATION


    7. B. Recommendation
    Total Leave
    Credits

    Vacation Leave
    Credits

    Administrative Officer

    Sick Leave Credits

    Total Leave
    Credits

    Administrative Officer

    7. C. APPROVED FOR:

    7. D. DISAPPROVED due to:

    days with pay


    days without pay

    MANUEL P. ALBAO, CESO V


    Schools Division Superintendent
    1. Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished in four copies.
    2. Application for vacation leave shall be filed in advance. In case of sick leave exceeding five days shall be accompanied with medical

    certificate.
    3. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding the period his authorized leave
    of absence.

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