KALINGA COLLEGES OF SCIENCE AND TECHNOLOGY
PUROK 5, BULANAO, TABUK CITY
3800 KALINGA PROVINCE
APPLICATION FOR LEAVE
1.OFFICE/AGENCY 2.NAME LAST FIRST MIDDLE
3.DATE OF FILING 4.POSITION 5. SALARY
_____________________________________________________________________________________________
6. DETAILS OF APPLICATION
A) TYPES OF LEAVE B) WHERE LEAVE WILL BE
( )Vacation (1)In case of vacation leave:
( ) to seek employment ( )Within the Philippines
( )Others (specify)________________ ( )Abroad (specify) ___________________
( )Sick (2)In case of sick leave:
( )Maternity ( )Paternity ( )In hospital (specify)
( )Others (specify)________________ ( )Out hospital (specify) ________________
7. NUMBER OF WORKING DAYS
APPLIED FOR _______________________ C) Commutation
INCLUSIVE DATES __________________ ( )Requested ( ) Requested
___________________
Signature of Applicant
8. A. CERTIFICATION OF LEAVE CREDITS: 9. B. RECOMMENDATION
AS OF: ___________________________ ( )Approved
( ) Disapproved due to____________
VL SL TOTAL ___________________________________
Authorized Official
__________________________
Personnel Officer
10. C. APPROVED FOR: 11. D. DISAPPROVED DUE TO:
_____________days with pay
_____________days without pay ____________________________
_____________others (specify)
___________________________
______________________
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1.Application for vacation or sick leave for one full day or more shall be made on this form and to be accomplished,
at least, in duplicate.
2.Application for vacation on leave shall be filled in advance, or whenever possible, five(5) days before such leave.
3. Application for sick leave filed in advance or exceeding (5) days shall be accomplished by medical certificate. In
case medical consultation is not available, should be accompanied by an affidavit of the applicant.
4.An employee who is absent without the approved leave shall not be entitled to receive her salary corresponding to
the period of her unauthorized leave of absence.
5. An application for leave of absence for thirty (30) days or more shall be accompanied by a clearance from money
and property accountability.
