Scribd
Upload
417 views

CSC Form 6 (Leave Form-New)

This document is an application for leave submitted by Liezel Cagalitan, a teacher at DEPED. She is applying for 6 days of vacation leave to seek employment within the Philippines. The application includes sections detailing her position information, type and duration of leave requested, and spaces for certification of leave credits and recommendation/approval from authorized officials.

Uploaded by

Eli Villaflores
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
417 views

CSC Form 6 (Leave Form-New)

This document is an application for leave submitted by Liezel Cagalitan, a teacher at DEPED. She is applying for 6 days of vacation leave to seek employment within the Philippines. The application includes sections detailing her position information, type and duration of leave requested, and spaces for certification of leave credits and recommendation/approval from authorized officials.

Uploaded by

Eli Villaflores
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 5

CSC Form 6

Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
DEPED IMPAS LIEZEL CAGALITAN
3. Date of Filing 4. Position 5. Salary
TEACHER 1
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

GWENDELYN C. JUMAO-AS
Authorized Official Authorized Official
7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

LANI H. CERVANTES,CESO VI
ASDS
Date: _________________
Requested
CSC Form 6
Revised 1998

APPLICATION FOR LEAVE


1. Office/Agency 2. Name (Last) (First) (Middle)
DEPED
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)
FORCED LEAVE

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

JESUSA A. ESLOPOR.Ed.D
Authorized Official Authorized Official
7. C) Approved for: 7. D) Disapproved due to:
days with pay
days without pay

Signature

ASDS
Date: _________________

You might also like