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DepEd Leave Application Form

An employee of the DepEd Angat office has submitted an application for leave. The application details the type of leave being requested (vacation or sick), where the leave will be spent, the number of working days being applied for, and a request for commutation. It provides spaces for certification of the employee's leave credits, recommendations on approval/disapproval from the Personnel Officer and School Head, and the authorized official's approval or disapproval with reasons.

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Ron Joseph Eugenio Cortez
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161 views2 pages

DepEd Leave Application Form

An employee of the DepEd Angat office has submitted an application for leave. The application details the type of leave being requested (vacation or sick), where the leave will be spent, the number of working days being applied for, and a request for commutation. It provides spaces for certification of the employee's leave credits, recommendations on approval/disapproval from the Personnel Officer and School Head, and the authorized official's approval or disapproval with reasons.

Uploaded by

Ron Joseph Eugenio Cortez
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

CSC Form No.

6
Revised 1984

APPLICATION FOR LEAVE


1. OFFICE/AGENCY
DepEd Angat
3. DATE OF FILING

2. NAME
(Last)
(Middle)
4. POSITION

(First)
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
Sick
Within the Philippines
Personal
Abroad
Maternity
(Specify)
Study
_________________
Others (Specify)
2. IN CASE OF SICK LEAVE
______________________________
In the Hospital
______________________________
(Specify)
_________________
6. c) NUMBER OF WORKING DAYS
Out Patient
APPLIED FOR
(Specify)
________________________________
_________________
________________________________
INCLUSIVE DATES
6. d) COMMUTATION
________________________________
Requested
Not
________________________________
Requested
________________________________
____________________________
Signature of Applicant
Employee Number
DETAILS ON ACTION ON APPLICATION
7. a) CERTIFICATION OF LEAVE CREDITS
7. b) RECOMMENDATION
as of __________________
Approval
Disapproval due
to__________________
Vacation
Sick
Total
Days

Days

Days

JOSEFINA S. PEDROCHE

Personnel Officer/Administrative Officer II


7. c) APPROVED FOR:
TO:
________ days with pay
________ days without pay
________ others (Specify)

ABRAHAM J. MARCELO
School Head

EDELMIRA G. REYES

District Supervisor
7. d) DISAPPROVED DUE

_________________________
_________________________
_________________________

_________________________________
Signature

CSC Form No. 6


Revised 1984

CECILIA E. VALDERAMA, Ph. D.

OIC-Assistant Schools Division Superintendent (Elem.)


Authorized Official
Date: ________________________

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