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Deped Bataan Leave Application 49457

The document is an application for sick leave submitted by a public school principal. It provides details of the leave such as the type of leave, inclusive dates of 1 day, and a request for commutation. Recommendation is for approval with certification of available sick leave credits. The application is approved for 1 day with pay by the Schools Division Superintendent.

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ronald bantugan
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299 views1 page

Deped Bataan Leave Application 49457

The document is an application for sick leave submitted by a public school principal. It provides details of the leave such as the type of leave, inclusive dates of 1 day, and a request for commutation. Recommendation is for approval with certification of available sick leave credits. The application is approved for 1 day with pay by the Schools Division Superintendent.

Uploaded by

ronald bantugan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Civil Service Form No.

6 ANNEX A
Revised 2020
Republic of the Philippines
Department of Education Stamp of Date of Receipt
REGION III February 05, 2024
SCHOOLS DIVISION OFFICE OF BATAAN

APPLICATION FOR LEAVE


1. Office/Department 2. Name (Last) (First) (Middle)
Morong NHS - Senior High School Bantugan Ronald Perez
3. Date of Filing January 27, 2024 4. Position Principal I 5. Salary PHP 52,096.00

6. DETAILS OF APPLICATIONS

6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE


Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules In case of Vacation/Special Privilege Leave:
▢ Implementing E.O. No. 292)
Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules ▢ Within the Philippines
▢ Implementing E.O. No. 292) ▢ Abroad
Sick Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing
✓ E.O. No. 292) In case of Sick Leave:
Maternity Leave (R.A. No. 11210 / IRR issued by CSC, DOLE
▢ and SSS) ▢ In Hospital

▢ Paternity Leave (R.A. No. 8187 / CSC MC No. 71, s. 1998, as ✓ Out Patient Flu and fever
amended)
Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules In case of Special Leave Benefits for Women:
▢ Implementing E.O. No. 292)
(Specify Illness) ______________________
▢ Solo Parent Leave (RA No. 8972 / CSC MC No. 8, s. 2004)
Study Leave (Sec. 43, Rule XVI, Omnibus Rules Implementing In case of Study Leave:
▢ E.O. No. 292)
10-Day VAWC Leave (RA No. 9262 / CSC MC No. 15, s. ▢ Completion of Master's Degree
▢ 2005) ▢ BAR/Board Examination Review
Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules
▢ Implementing E.O. No. 292) Other purpose:
Special Leave Benefits for Women (RA No. 9710 / CSC MC
▢ No. 25, s. 2010) ▢ Monetization of Leave Credits

▢ Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012, ▢ Terminal Leave


as amended)
▢ Adoption Leave (R.A. No. 8552)

Others: ______________________

6.C NUMBER OF WORKING DAYS APPLIED FOR: 6.D COMMUTATION


1 Day(s)
▢ Not Requested
INCLUSIVE DATES:
✓ Requested
January 22, 2024

Ronald P. Bantugan
Name and Signature of Applicant

7. DETAILS OF ACTION ON APPLICATION

7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION


As of: January 31, 2024 ✓ For Approval
Leave Type Vacation Sick ▢ For Disapproval due to
Total Earned 23.919 119.518
Less this application 0 1
Armando C. Capili, EdD
Balance 23.919 118.518 Assistant Schools Division Superintendent

Ma. Liza A. Manuel


Human Resource Officer

7.C APPROVED FOR: 7.D DISAPPROVED DUE TO:


1 days with pay
0 days without pay
others (specify)

Carolina S. Violeta, EdD, CESO V


Schools Division Superintendent

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