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Junar G. Plaga has submitted an application for three days of leave from December 27-29, 2017. He is requesting leave under the "Others" category and will be spending his leave within the Philippines. The application is recommended for approval by the authorized official Engr. Mauricio L. Tomarong and further approved by the City Mayor Hon. Edgar S. Lignes.

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57 views1 page

Form

Junar G. Plaga has submitted an application for three days of leave from December 27-29, 2017. He is requesting leave under the "Others" category and will be spending his leave within the Philippines. The application is recommended for approval by the authorized official Engr. Mauricio L. Tomarong and further approved by the City Mayor Hon. Edgar S. Lignes.

Uploaded by

Junar Plaga
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 DOC, PDF, TXT or read online on Scribd

CS Form No.

6
Revised 1983

APPLICATION FOR LEAVE


1. OFFICE/AGENCY 2. NAME (Last) (First) (Middle)
Engineering Office Plaga Junar G.
3. DATE OF FILING 4. POSITION 5. SALARY(MONTHLY)
December 18, 2017 Engineer I 17,110.00
DETAILS OF APPLICATION

6. a) TYPE OF LEAVE 6. b) Where leave will be spent?


[ ] VACATION 1. In case of Vacation Leave
[ ] To seek employment [ ] Within the Philippines
[ ] Others (specify) [ ] Abroad (specify) ___________
[ ] SICK 2. In case of Sick Leave
[ ] Maternity [ ] In hospital (specify)_________
[x] Others [ ] Outpatient specify)_________
c) COMMUTATION
NO. OF DAYS APPLIED FOR: [ ] Requested
three (3) days [ ] Not Requested

INCLUSIVE DATES
December 27-29, 2017
Junar G. Plaga
Signature of Applicant
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~
DETAILS OF ACTION ON APPLICATION

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


as of ___________________________ [ ] Approval
_______________________________ [ ] Disapproval due to ________
Vacation Sick Total ___________________________

_______________________________
Days Days Days ENGR. MAURICIO L. TOMARONG
(Authorized Official)

ROMELA Q. SAJONIA
HRMO-IV
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8. a) APPROVED FOR: b) DISAPPROVED DUE TO:

____________________ days with pay _____________________


____________________ days without pay
____________________ others (specify)

HON. EDGAR S. LIGNES


City Mayor
(Authorized Official)

________________
Date

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