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Form 6 - Leave Form

1. The document is an application for leave from an office or agency. It includes details such as the applicant's name, position, salary, type of leave requested (sick leave in this case), number of working days for leave, and dates. 2. The applicant is requesting 4 days of sick leave to be spent as an out patient and has signed the application. 3. The application details the applicant's current leave credits and includes space for recommendation and approval/disapproval of the request by the appropriate authority.

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May Pabico
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82 views2 pages

Form 6 - Leave Form

1. The document is an application for leave from an office or agency. It includes details such as the applicant's name, position, salary, type of leave requested (sick leave in this case), number of working days for leave, and dates. 2. The applicant is requesting 4 days of sick leave to be spent as an out patient and has signed the application. 3. The application details the applicant's current leave credits and includes space for recommendation and approval/disapproval of the request by the appropriate authority.

Uploaded by

May Pabico
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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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
(1) In case of Vacation Leave
Vacation
Within the Philippines
To seek employment
Abroad (specify)______________________
Others (specify) ___________________ ___________________________________
_________________________________ (2) In Case of Sick Leave

Sick In Hospital (specify)____________________

Maternity ____________________________________
Out Patient (specify)___________________
Others(specify) ____________________________________
_________________________________ 6. d.) Commutation
6. c.)Number of Working Days Applied for 4
Requested Not Requested
Inclusive Dates:

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. a.) Certification of Leave Credits as of 7. b.) Recommendation
___________________________________
Approval
Vacation Sick Total
Disapproval due to ______________________
Days Days Days ______________________________________
______________________________________

7. c.) Approved for: 7. d.) Disapproved due to:


______________ Days with pay _________________________________________
______________ Days without pay __________________________________________
______________ Others (specify)
Date:___________________

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