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Form 6- Leave

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Jarah Gealon
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4 views

Form 6- Leave

Uploaded by

Jarah Gealon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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C.S.

Form 6
Revised 1981

APPLICATION FOR LEAVE

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

3. DATE OF FILING 4. POSITION 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) SPECIAL LEAVE [ ] Abroad (Specify) _____________
_____________________________ ___________________________
(2) IN CASE OF SICK LEAVE
[ ] Sick Leave [ ]In Hospital (Specify) __________
[ ] Maternity [ ] Outpatient (Specify) _________
[ ] Others (Specify) d) COMPUTATION
________________ [ / ] Requested
6. c) NUMBER OF WORKING DAYS APPLIED FOR [ ] Not Requested

INCLUSIVE DATE: ______________


_____________________________________

_______________________
(Signature of
Applicants)

DETAILS OF ACTION IN APPLICANT


7. a) CERTIFICATE OF LEAVE CREDITS 7. b) RECOMMENDATION
As of ______________________ [ ] Approved
[ ] Disapproved due to ___________

VACATION SICK TOTAL


(Days (Days) (Days)

________________________
(Authorized Officials)
________________________________________
(Personnel Officer)

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


________________ days with pay ______________________________
________________ days without pay ______________________________
________________ Others (Specify) ______________________________

___________________________
Signature

Schools Division Superintendent


(Authorized Official)
________________________
(Date)
.S. Form 6
Revised 1981

APPLICATION FOR LEAVE

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


DepEd, Dalaguete II MAGLASANG ANNA LIZA CEBALLOS
3. DATE OF FILING 4. POSITION 5. MONTHLY SALARY
April 1, 2011 Teacher 1
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)
_____________
_____________________________ ___________________________
(2) IN CASE OF SICK LEAVE
[ ] Sick Leave [ ]In Hospital (Specify) __________
[ ] Maternity [ ] Outpatient (Specify) _________
[ ] Others (Specify) Maternity Leave d) COMPUTATION
___________________________ [ ] Requested
6. c) NUMBER OF WORKING DAYS APPLIED FOR [ ] Not Requested
Sixty (60) Days______________
INCLUSIVE DATE: __________
April 15 to June 13, 2011

ANNA LIZA C. MAGLASANG


(Signature of Applicants)

DETAILS OF ACTION IN APPLICANT


7. a) CERTIFICATE OF LEAVE CREDITS 7. b) RECOMMENDATION
As of ______________________ [ ] Approved
[ ] Disapproved due to ___________

VACATION SICK TOTAL


(Days (Days) (Days)

_____________________________
(Authorized Officials)
________________________________________
(Personnel Officer)

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


________________ days with pay ______________________________
________________ days without pay ______________________________
________________ Others (Specify) ______________________________

ARDEN D. MONISIT, Ed. D.


Signature

Schools Division Superintendent


(Authorized Official)
________________________
(Date)

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