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Application For Leave: Details of Action On Application

The document is an application for leave form submitted by Hazel Ann Sanchez, the Barangay Chairman of Pio del Pilar. She is applying for 8 days of vacation leave from September 4 to 12, 2018 to seek employment in the United States of America. The form details her request and provides sections for certification of her leave credits, recommendation on her application, and space for authorization of her requested leave.
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0% found this document useful (0 votes)
31 views

Application For Leave: Details of Action On Application

The document is an application for leave form submitted by Hazel Ann Sanchez, the Barangay Chairman of Pio del Pilar. She is applying for 8 days of vacation leave from September 4 to 12, 2018 to seek employment in the United States of America. The form details her request and provides sections for certification of her leave credits, recommendation on her application, and space for authorization of her requested leave.
Copyright
© © All Rights Reserved
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Download as 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)
BARANGAY PIO DEL PILAR LACIA HAZEL ANN SANCHEZ
3. Date of Filing 4. Position 5. Salary
BARANGAY CHAIRMAN
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)
UNITED STATES OF AMERICA
Sick 2. In case of Sick Leave
Maternity In hospital (Specify)
Others (Specify)

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


8 DAYS Requested Not Requested
Inclusive Dates
September 4 to 12, 2018
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: _________________

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