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Civil SC Form No. 6

This document is an application for leave form containing details about the type of leave being applied for, the number of working days, inclusive dates, and required signatures. It includes spaces to provide information about the applicant's office, name, position, salary and leave credit details. The recommending authority and approving authority will then indicate if the application is approved or disapproved, and the number of approved days with or without pay.

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Jupiter Whiteside
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30 views2 pages

Civil SC Form No. 6

This document is an application for leave form containing details about the type of leave being applied for, the number of working days, inclusive dates, and required signatures. It includes spaces to provide information about the applicant's office, name, position, salary and leave credit details. The recommending authority and approving authority will then indicate if the application is approved or disapproved, and the number of approved days with or without pay.

Uploaded by

Jupiter Whiteside
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CSC Form No.

6
Revised 1984
APPLICATION FOR LEAVE
1. Office / Agency 2. Name (Last) (First) (Middle)

3. Date of Filing 4. Position 5. Salary (Monthly/SG)

DETAILS OF APPLICATION
a. TYPE OF LEAVE b. WHERE LEAVE WILL BE
SPENT
Vacation 1. In case of Vacation Leave
To seek employment Within the Philippines
Others (Specify) Abroad
2. In case of Sick Leave
Sick In Hospital (Specify)
Maternity
Others (Specify) Out-Patient (Specify)

c. NUMBER OF WORKING DAYS d. COMMUTATION


APPLIED FOR : requested not
requested
INCLUSIVE DATES:

SIGNATURE OF APPLICANT

DETAILS OF ACTION ON APPLICATION


a. CERTIFICATION OF LEAVE CREDITS b. RECOMMENDATION (please check)

as of______________________________

Vacatio Sick Total APPROVED


n DISAPPROVED
Days Days Days

NAME OF RECOMMENDING
AUTHORITY
Principals or Chiefs of Services

JESUSA L. DELA CRUZ


Chief Administrative Officer
Personnel Services

c. APPROVED FOR: d. DISAPPROVED DUE TO:


Days with Pay
Days without Pay
Others (Specify)

NAME OF APPROVING AUTHORITY


Schools Division Superintendent or
Assistant Schools Division Superintendent
(whichever is applicable)

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