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FORM 6 Blank Form For SDO Muntilupa

This document is an application for leave form from the Schools Division Office of Muntinlupa City. It contains details of the applicant such as name, position, and employee number. It also specifies the type of leave being applied for, where the leave will be spent, the inclusive dates, and the number of working days. The form is signed by the applicant and contains sections for certifying leave credits, recommending approval or disapproval, and the final approval or disapproval by the authorized school superintendent.

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Hadzen Gaba
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165 views2 pages

FORM 6 Blank Form For SDO Muntilupa

This document is an application for leave form from the Schools Division Office of Muntinlupa City. It contains details of the applicant such as name, position, and employee number. It also specifies the type of leave being applied for, where the leave will be spent, the inclusive dates, and the number of working days. The form is signed by the applicant and contains sections for certifying leave credits, recommending approval or disapproval, and the final approval or disapproval by the authorized school superintendent.

Uploaded by

Hadzen Gaba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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CSC Form 6 Revised 1984

SCHOOLS DIVISION OFFICE


City of Muntinlupa
ISO 9001:2008 Certified

APPLICATION FOR LEAVE

1. Office/Agency 2. Name (Last) (First) (M.I.)


DepEd - SDO Muntinlupa

3. Date of Filing 4. Position 5. Salary (Monthly) 6. EMPLOYEE NO.

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
Sick Abroad (Specify):
Maternity
Monetization
Others (Specify):
In Hospital (Specify) :

Out Patient (Specify) :

C) Number of working days 6. D) Commutation


applied for:
Requested
Inclusive Dates : Not requested

___________________________________
(Signature of Applicant)
7. A) Certification of leave 7. B) Recommendation
credits as of :
Approval
VACATION SICK TOTAL Disapproval due to :

MARIA CORAZON C. PALOMIQUE, Ed. D. _____________________________


Administrative Officer IV / HRMO Authorized Official

7. C) Approved for : 7. D) Disapproved due to:


_____________ days with pay _______________________________
_____________ days without pay _______________________________
_____________ others (specify) _______________________________

For and by the Authority of the Schools Division Superintendent

NOEL D. BAGANO
OIC - Asst. Schools Division Superintendent

1. An application of leave of absence for thirty (30) calendar days or more shall be accompanied by a clearance
of money and property accountabilities.
2. Application for vacation leave or sick leave for one full day or more shall be made on this form and to be
accompanied in duplicate.
3. Application for leave shall be filed in advance or whenever possible five (5) days before going on such leave.
4. Application for sick leave filed in advance or exceeding five (5) days shall be accompanied with medical certificate.
5. An employee who is absent without approved leave should not be entitled to receive salary corresponding
to the period of his unauthorized leave of absence.
CSC Form 6 Revised 1984
SCHOOLS DIVISION OFFICE
City of Muntinlupa
ISO 9001:2008 Certified

APPLICATION FOR LEAVE

1. Office/Agency 2. Name (Last) (First) (M.I.)


DepEd - SDO Muntinlupa

3. Date of Filing 4. Position 5. Salary (Monthly) 6. EMPLOYEE NO.

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
Sick Abroad (Specify):
Maternity
Monetization
Others (Specify):
In Hospital (Specify) :

Out Patient (Specify) :

C) Number of working days 6. D) Commutation


applied for:
Requested
Inclusive Dates : Not requested

___________________________________
(Signature of Applicant)
7. A) Certification of leave 7. B) Recommendation
credits as of :
Approval
VACATION SICK TOTAL Disapproval due to :

MARIA CORAZON C. PALOMIQUE, Ed. D. NOEL D. BAGANO


Administrative Officer IV / HRMO Authorized Official

7. C) Approved for : 7. D) Disapproved due to:


_____________ days with pay _______________________________
_____________ days without pay _______________________________
_____________ others (specify) _______________________________

MAURO C. DE GULAN, Ed. D.


Schools Division Superintendent

1. An application of leave of absence for thirty (30) calendar days or more shall be accompanied by a clearance
of money and property accountabilities.
2. Application for vacation leave or sick leave for one full day or more shall be made on this form and to be
accompanied in duplicate.
3. Application for leave shall be filed in advance or whenever possible five (5) days before going on such leave.
4. Application for sick leave filed in advance or exceeding five (5) days shall be accompanied with medical certificate.
5. An employee who is absent without approved leave should not be entitled to receive salary corresponding
to the period of his unauthorized leave of absence.

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