CSC Form 6
Revised 1998
APPLICATION FOR LEAVE
1. Office / Agency 2. Name (Last) (First) (Middle)
DepEd Anhao Jodene Soronio
3. Date of Filing 4. Position 5. Salary
Feb. , 2020 T-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)
_________________________ _______________________
Sick 2. In case of Sick Leave
/
Maternity ____ In hospital (Specify)
Others (Specify) _____________________
_____________________
________________________________
6. C) Number of Working Days applied for: 6. D) Commutation
_________1______________________ Requested Not Requested
Inclusive Dates
______Feb. 19, 2020__________ _______________________________
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of
Vacation Sick Total
Approval
Balance:
DELMA R. DENAPO Disapproval due to
Administrative Officer Less: ____________________________
IV / HRMO
Total: days days days
MARGISSA T. AMEN
Administrative Officer V
7. C) Approved for: 7. D) Disapproved due to:
_______ days with pay _____________________________
_______ days without pay _____________________________
ROSEMARIE T. MACESAR
Assistant Schools Division Superintendent
Anecito St., Mantic, Tangub City
Website:
Telephone: (088) 545 - 0304
Telefax: (088) 395 - 3372
Date:______________
Anecito St., Mantic, Tangub City
Website:
Telephone: (088) 545 - 0304
Telefax: (088) 395 - 3372