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Barangay Officials Leave Application Form

The document is an application for leave from a barangay office in the Philippines. It requests information about the applicant, type of leave being applied for, number of days, and includes sections for certifying leave credits and getting approval from the punong barangay.

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Chares Cordova
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1K views2 pages

Barangay Officials Leave Application Form

The document is an application for leave from a barangay office in the Philippines. It requests information about the applicant, type of leave being applied for, number of days, and includes sections for certifying leave credits and getting approval from the punong barangay.

Uploaded by

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

Repubic of the Philippines

CITY OF DIPOLOG
Barangay Olingan
OFFICE OF THE PUNONG BARANGAY

APPLICATION FOR LEAVE


1. OFFICE/AGENCY 2. NAME (last) (first) (middle)

3. DATE OF FILLING 4. POSITION 5. SALARY (monthly)

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) Abbroad(Specify)

Sick (2.) IN CASE OF SICK LEAVE

Maternity In Hospital(Specify)

Others(Specify) _________________ Out-Patient(Specify)

6.a) NUMBER OF WORKING DAYS APPLIED FOR 6.d) COMMUTATION

INCLUSIVE DATES ____________ ______ Requested _______ Not Requested

(Signature of Applicant)
DETAILS OF APPLICATION ON APPLICANT
7.a.) CERTIFICATION OF LEAVE CREDITS: 7.b.) RECOMMENDATION

______ Approval
VACATION SICK TOTAL
______ Disapproval due to
Days Days Days
7.c.) APPROVED FOR:
FRANCISCA L. MAQUILING
Working days with pay Punong Barangay
Working days without pay
Others (Specify) 7.d) DISAPROVED

COMPUTATION VACATION LEAVE SICK LEAVE


Balance as of
L/C earned
Total L/C as of
Less this application
Balance as of
FRANCISCA L. MAQUILING
Punong Barangay
Republic of the Philippines
CITY OF DIPOLOG
BARANGAY SINAMAN

BARANGAY OFFICIALS LEAVE CARD


Name: ___________________________________________Office: BARANGAY SINAMAN, DIPOLOG CITY First day of service: _____________________
VACATION LEAVE SICK LEAVE
Absence Absence Absence Absence
PERIOD PARTICULARS EARNED EARNED REMARKS
Under Time BALANCE Under Time Under Time BALANCE Under Time
With Pay With Pay With Pay With Pay
From:

CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that the above entries are true and correct.

NORA S. DALMACIO
Punong Barangay

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