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AppLeave PDF

This document is an application for leave form that collects information from the applicant such as their name, employee number, position, salary, type of leave being requested, number of working days for leave, and dates for the requested leave. The form is then reviewed by personnel and an authorized official who will recommend approval or disapproval of the application and sign the final decision.

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janquil 25
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105 views1 page

AppLeave PDF

This document is an application for leave form that collects information from the applicant such as their name, employee number, position, salary, type of leave being requested, number of working days for leave, and dates for the requested leave. The form is then reviewed by personnel and an authorized official who will recommend approval or disapproval of the application and sign the final decision.

Uploaded by

janquil 25
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CSC Form No.

_______
Revised 1984

APPLICATION FOR LEAVE


1. OFFICE/AGENCY 2. a) NAME (Last) (First) (Middle) 2. b) EMPLOYEE NO.

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

M M D D Y Y Y Y

DETAILS OF APPLICATION
6. a) TYPE OF LEAVE 6. b) WHERE LEAVE WILL BE SPENT

Vacation 1. IN CASE OF VACATION LEAVE


Others (specify)______________________ Within the Philippines
___________________________________ Abroad (specify) ____________________
Sick
Maternity 2. IN CASE OF SICK LEAVE
Paternity In Hospital (Specify) _________________
Out Patient (Specify) _________________

6. c) NUMBER OF WORKING DAYS 6. d) COMMUTATION


APPLIED FOR ____________________ Requested
INCLUSIVE DATES: Not Requested
FROM TO
MM DD YYYY MM DD YYYY

______________________________
Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. a) CERTIFICATION OF LEAVE 7. b) RECOMMENDATION
As of ______________________ Approved
Disapproved due to ____________________
VACATION SICK TOTAL ____________________________________

______________________________ ______________________________
Personnel Officer Authorized Official
7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:

days with pay


days without pay
others (specify)

_________________________________
Authorized Official

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