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Application For Leave: Details of Action On Application

This document is an application form for leave from the Department of Education in the Philippines, specifically for the Division of Negros Oriental. It includes sections for personal information, type of leave requested, duration, and details of action on the application. The form requires signatures from the applicant and authorized officials for approval or disapproval of the leave request.

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Rhea Diaz-Badon
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38 views1 page

Application For Leave: Details of Action On Application

This document is an application form for leave from the Department of Education in the Philippines, specifically for the Division of Negros Oriental. It includes sections for personal information, type of leave requested, duration, and details of action on the application. The form requires signatures from the applicant and authorized officials for approval or disapproval of the leave request.

Uploaded by

Rhea Diaz-Badon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education (DepEd)


Region VII, Central Visayas
DIVISION OF NEGROS ORIENTAL
Dumaguete City
CSC Form No. 6
Revised 1984 APPLICATION FOR LEAVE
1. Office /Agency 2. Name (Last) (First) (Middle)

DEPED, DIVISION OF
NEGROS ORIENTAL
3. Date of filing 4. Position: 5. Salary (Monthly)

6. a) Type of Leave b) Where leave will be spent


Vacation 1) In case of vacation leave
To seek employment Within the Philippines
Other (specify) Abroad (specify)
________________________ _____________________________
_____________________________
Sick 2) In case of sick leave
Maternity In Hospital (Specify)
Others (Specify) _____________________________
_________________________ _____________________________
_________________________ Out Patient (Specify)

________________________________
________________________________
c) No. of Working Days applied for: d) Commutation
_________________________________________ Requested
Not Requested
Inclusive Dates:
_________________________________________ ________________________________________
Signature of Applicant

DETAILS OF ACTION ON APPLICATION


7. a) Certification of Leave Credits b) Recommendation
as of __________________________________
Approved

Vacation Sick Total Disapproved


Balance
Less
Balance
___________________________________________________
Authorized Official
LANI B. YURONG
Administrative Officer V

c) Approved For d) Disapproved due to:


Days(s) with pay
_____________________________________
Days(s) without pay
Others (specify)

SENEN PRISCILLO P. PAULIN, CESO V


Schools Division Superintendent

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