Scribd
Upload
157 views

CS Form 6-New

This document is an application for leave form from the Department of Education (DEP-ED) Cluster IV/ Josue S. Alcasid Central School. It contains details about the type of leave being applied for such as vacation, sick, maternity leave. It also requests information about the number of working days being applied for, dates of leave, and certification of leave credits. The form is to be filled out and requires recommendations and approval from administrative officers and the OIC-Schools Division Superintendent.

Uploaded by

Zav D. Niro
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
157 views

CS Form 6-New

This document is an application for leave form from the Department of Education (DEP-ED) Cluster IV/ Josue S. Alcasid Central School. It contains details about the type of leave being applied for such as vacation, sick, maternity leave. It also requests information about the number of working days being applied for, dates of leave, and certification of leave credits. The form is to be filled out and requires recommendations and approval from administrative officers and the OIC-Schools Division Superintendent.

Uploaded by

Zav D. Niro
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
You are on page 1/ 2

CS Form 6

Revised 1984
APPLICATION FOR LEAVE
1. Official Agency: DEP-ED 2. Name (Last) First Middle
CLUSTER IV/ JOSUE S. ALCASID CENTRAL SCHOOL
2. Date of Filing 4. Position 5. Salary(Monthly)

DETAILS OF APPLICATION
6. (a) TYPE OF LEAVE 6. (b) WHERE LEAVE WOULD 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. (c) NUMBER OF WORKING DAYS 6. (d) COMMUTATION


APPLIED FOR___________________ Requested
Inclusive Dates:
From: _________________________ Not Requested

__________________________________
(Signature of Applicant)

Employee No ______________________________
C.S. Status ________________________________
Date of Original Appointment _________________

7. (a) CERTIFICATION OF LEAVE CREDITS 7. (b) RECOMMENDATION


As of _______________________ ( ) Approved
( ) Disapproved due to _____________
___________________________________
VACATION SICK TOTAL
Total Earned Leave
Less no. of days applied
Total Leave Balance
Days Days Days

KRISTINE GUILLERMO ZENAIDA B. PORRAS, MPA


Administrative Officer IV Administrative Officer V
(Personnel & Records) (Authorized Official)
7. (c) APPROVED FOR: 7. (d) DISAPPROVED DUE TO:
______________ Days with pay ___________________________________
______________ Days without pay ___________________________________
______________ Others (specify) ___________________________________

APPROVED:

MIGUEL P. FILLALAN, JR., CESO VI


OIC- Schools Division Superintendent
Date: _________________
INSTRUCTIONS
1. Application for vacation leave for one full day or more shall be made on the Form to be accomplished at least in
duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible five (5) days before going on such leave.
3. Application for sick leave filed in advance exceeding five (5) days shall be accompanied by medical certificate. In case
medical certificate was not avail of, the applicants should execute an affidavit.
4. An employee who is absent approval leave shall not be entitled to receive his salary corresponding to the period of his
unauthorized leave of absence.
5. An application for leave of absence for thirty (30) calendar days or more shall be accompanied by clearance from money
and property accountable.

You might also like