Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
53 views2 pages

Form 6 Local LEAVE

The document is an application for leave form containing details about the applicant, type of leave requested, and approval process. The applicant, a Nurse II, is applying for vacation leave to spend within the Philippines. The form tracks the number of leave days requested and remaining, and requires recommendations and approval signatures from administrative officers and the Schools Division Superintendent.

Uploaded by

Cielito Alili Cervancia-Lucero
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
53 views2 pages

Form 6 Local LEAVE

The document is an application for leave form containing details about the applicant, type of leave requested, and approval process. The applicant, a Nurse II, is applying for vacation leave to spend within the Philippines. The form tracks the number of leave days requested and remaining, and requires recommendations and approval signatures from administrative officers and the Schools Division Superintendent.

Uploaded by

Cielito Alili Cervancia-Lucero
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
You are on page 1/ 2

CSC Form No.

APPLICATION FOR LEAVE

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

3. DATE OF FILING 4. POSITION/DESIGNATION 5. SALARY (Monthly)


Nurse II P

DETAILS OF APPLICATION

5 A. TYPE OF LEAVE B. WHERE LEAVE WILL BE SPENT

Vacation 1. IN CASE OF VACATION LEAVE

To seek employment Within the Philippines

Others Abroad (Specify) __________________

Sick 2. IN CASE OF SICK LEAVE

Maternity in hospital (specify) ________________

Out-Patient (specify)
Others –Offset MRAA 2018

C. NUMBER OF WORKING DAYS APPLIED FOR Requested

_______________________________
Signature of Applicant

DETAILS OF ACTION ON APPLICATION

7 A. CERTIFICATION OF LEAVE CREDITS 7 B. RECOMMENDATIONS

As of ________________________ Approval

Disapproval due to
Vacation Sick Total
______________________

ISABELITA A. SAMPAYAN FELINA P. PADRONES


Administrative Officer-V Authorized Official
_________________________________________________________________________________________________________
__

7 C. APPROVED FOR: 7 D. DISAPPROVED DUE TO

___________days with pay __________________________________


___________days without pay __________________________________
___________others (specify)

ROGER F. CAPA, CESO VI


Schools Division Superintendent

You might also like