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CSC Form 6 (Leave Form-New)

This document is an application for leave form. It requests information such as the applicant's name, position, salary, type of leave being applied for, where the leave will be spent, number of working days, and whether leave commutation is requested. It also includes sections for certifying the applicant's leave credits, recommendations on approving or disapproving the application, and the signature of the authorized official making the final determination.

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Lebron Rain Menandro
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404 views

CSC Form 6 (Leave Form-New)

This document is an application for leave form. It requests information such as the applicant's name, position, salary, type of leave being applied for, where the leave will be spent, number of working days, and whether leave commutation is requested. It also includes sections for certifying the applicant's leave credits, recommendations on approving or disapproving the application, and the signature of the authorized official making the final determination.

Uploaded by

Lebron Rain Menandro
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) (First) (Middle)

3. Date of Filing 4. Position 5. Salary

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)
Others (Specify)

6. C) Number of Working Days applied for: 6. D) Commutation


Requeste Not Requested
Inclusive Dates

Signature of Applicant
DETAILS OF ACTION ON APPLICATION
7. A) Certification of Leave Credits 7. B) Recommendation:
as of

Vacation Sick Total Approval


Disapproval due to
days days days

Authorized Official Authorized Official


7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

Authorized Official
Date: _________________
Requested

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