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Application For Leave: Signature of Applicant

1) Ariel Labrador, a Teacher II at INOPACAN NHS-DEPED, applied for a one day sick leave on January 28, 2019 to seek outpatient treatment. 2) Jose Mariano E. Barril, the Administrative Officer IV-HRMO II, approved Ariel Labrador's one day sick leave application. 3) Ariel Labrador's sick leave application was processed and approved according to the standard CSC Form No. 6 for applying for leave.

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R-Yel Labrador Baguio
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40 views

Application For Leave: Signature of Applicant

1) Ariel Labrador, a Teacher II at INOPACAN NHS-DEPED, applied for a one day sick leave on January 28, 2019 to seek outpatient treatment. 2) Jose Mariano E. Barril, the Administrative Officer IV-HRMO II, approved Ariel Labrador's one day sick leave application. 3) Ariel Labrador's sick leave application was processed and approved according to the standard CSC Form No. 6 for applying for leave.

Uploaded by

R-Yel Labrador Baguio
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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APPLICATION FOR LEAVE

CSC Form No. 6


Revised 1984

1. OFFICE/AGENCY 2. LAST NAME FIRST MIDDLE


INOPACAN NHS-DEPED BAGUIO ARIEL LABRADOR
3. DATE OF FILLING 4. POSITION 5. SALARY (MONTHLY)
30-Jan-19 TEACHER II 24,149.00

DETAILS OF APPLICATION

6. a). TYPE OF LEAVE 6. b). WHERE LEAVE WILL BE SPENT


Vacation In case of Vacation Leave
To seek employment Within the Philippines
Others (specify) Abroad (specify)

x Sick In caseof Sick Leave


Maternity -- In Hospital (specify)
Others (specify) x -- Out Patient (specify)

6. c). Number of wkg. Days applied for 6. d). COMMUTATION


ONE DAY (1)
Inclusive dates January 28, 2019 x Requested Not requested

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. a). CERTIFICATION OF LEAVE CREDITS 7. b). RECOMMENDATION
as of

Vacation Sick Total Approved


Disapproved

Days Days Days

JOSE MARIANO E. BARRIL Authorized Official


Administrative Officer IV-HRMO II

7. c). APPROVED FOR: 7. d). DISAPPROVED DUE TO:


days w/ pay
days w/o pay
others (specify)

Signature

Authorized Official

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