Leave Form 2019
Leave Form 2019
6
Received 1984
APPLICATION FOR LEAVE
1. OFFICIAL/AGENCY 2. NAME (Last) (First) (Middle)
DETAILS OF APPLICATION
6. a.) TYPE OF LEAVE 6.b.) WHERE LEAVE WILL BE SPENT:
(1.) IN CASE OF VACATION LEAVE
( ) Vacation ( ) Within the Philippines
( ) To seek employment ( ) Abroad (Specify) ____________________
( ) Others (Specify) __________________________ ____________________________________
___________________________________________
( ) Sick (2.) IN CASE OF SICK LEAVE
( ) Maternity ( ) In Hospital (Specify) __________________
( / ) Others (Specify) ____________________________________
( ) Out Patient (Specify) __________________
Special Leave_________ ____________________________________
6.c.) NUMBER OF WORKING DAYS APPLIED FOR 6.d.) COMMUTATION
( / ) Requested ( ) Not Requested
2 days
__________________
(Signature of Applicant)
INCLUSIVE DATES: July 1-2,2020
DETAILS OF APPLICATION
7.a.) CERTIFICATION OF LEAVE CREDITS 7.b.) RECOMMENDATION
As of ____________________________ ( ) Approval
JULIET DUMAGUIT-GO
Accountant III
RACHEL JADE DELA CRUZ ( Authorized Official)
Administrative Officer IV - HRMO
LAILA F. DANAQUE
OIC-Schools Division Superintendent