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Application For Leave: Revised 1984

Kenny Batiles Enriquez, an HRDD Personnel, submitted a leave application form to his supervisor requesting five days of force leave from November 23 to 27, 2009. His supervisor recommended approval of the force leave request. The provincial director then approved the five days of force leave with pay.

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gilbertmendova3
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24 views

Application For Leave: Revised 1984

Kenny Batiles Enriquez, an HRDD Personnel, submitted a leave application form to his supervisor requesting five days of force leave from November 23 to 27, 2009. His supervisor recommended approval of the force leave request. The provincial director then approved the five days of force leave with pay.

Uploaded by

gilbertmendova3
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CS form No.

6
Revised 1984

APPLICATION FOR LEAVE


1. Office/Agency
NSPPO

2. Name

(Last)
ENRIQUEZ

BATILES
4. Position
HRDD PERSONNEL

3. Date of Filing
NOVEMBER 13,
2009

(First)
KENNY

(Middle)

5. Salary (Month)
Php. 10,808.00

DETAILS OF APPLICATION
b) WHERE LEAVE WILL BE SPENT
* In case of Vacation Leave
[ ] Within the Philippines
[ ] Abroad ( Tourist)
_________________________
[ ] Sick
* In case of Sick Leave
[ ] Maternity/Paternity
[ ] In hospital (specify)
{ X] Other (specify)
[ ] Out Patient (specify)
____Force Leave___________
_________________________

6. a) TYPE OF LEAVE
[ ] Vacation
[ ] To seek employment
[ ] Others (specify)

c) Number of working Days applied


for
__________five
(5)_days___________

COMMUTATION
[ ] Requested [ ] Not Requested
PO1 Kenny Batiles Enriquez
Signature of Applicant

Inclusive Dates:
NOV. 23 to 27, 2009
DETAILS OF ACTION ON APPLICATION
7. a) Certification of Leave Credits
As of ______________________
Vacation
Sick
Total

Days

Days

Days

b) Recommendation
[ ] Approval
[ ] Disapproval
PSUPT TRANQUILINO ARAGON ARARAL
III
ADPA
Authorized Official

PSUPT LOPE MA UBALDO LIM


Chief, PPHRDB

c) APPROVED FOR
_____________Days with pay
_____________Days without pay
_____________Others (specify)

d) DISAPPROVED TO
__________________________

_____________________________________
Signature
PSSUPT EUSEBIO ADAMERO MEJOS
Provincial Director
DATE: __________________
1

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