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CSC Form 6 (Leave Form-New)

This document is an application for leave form containing sections for the applicant and approving officials' details. The applicant provides their name, position, type of leave requested such as vacation or sick leave, number of working days, and signature. The authorized official then certifies the applicant's leave credits, recommends approval or disapproval, and either approves the leave for a certain number of days with or without pay or disapproves it due to a reason.

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Ara Gayares Gallo
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© © All Rights Reserved
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21K views

CSC Form 6 (Leave Form-New)

This document is an application for leave form containing sections for the applicant and approving officials' details. The applicant provides their name, position, type of leave requested such as vacation or sick leave, number of working days, and signature. The authorized official then certifies the applicant's leave credits, recommends approval or disapproval, and either approves the leave for a certain number of days with or without pay or disapproves it due to a reason.

Uploaded by

Ara Gayares Gallo
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency

2. Name (Last)

3. Date of Filing

4. Position

(First)

DETAILS OF APPLICATION
6. A) Type of Leave
Vacation
To seek employment
Others (Specify)

6. B) Where Leave will be spent:


1. In case of Vacation Leave
Within the Philippines
Abroad (Specify)

Sick
Maternity
Others (Specify)

2. In case of Sick Leave


In hospital (Specify)

6. C) Number of Working Days applied for:

6. D) Commutation
Requested

Inclusive Dates
Signature of Applicant

DETAILS OF ACTION ON APPLICATION


7. A) Certification of Leave Credits
as of

7. B) Recommendation:

Vacation

Sick

Total

days

days

days

Authorized Official
7. C) Approved for:
days with pay
days without pay

Approval
Disapproval due to

Authorized Official
7. D) Disapproved due to:

Signature

Authorized Official

Date: _________________

(Middle)
5. Salary

will be spent:
Vacation Leave
Within the Philippines
broad (Specify)

Sick Leave
n hospital (Specify)

Not Requested

ignature of Applicant

ON

isapproval due to

uthorized Official

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