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Form 6 School Teaching and Non Teaching Up To 60 Days

This document is an application for leave form for school teaching and non-teaching personnel requesting up to 60 calendar days of leave. It collects information such as the applicant's office, name, date of filing, position and salary. It also requests details of the application including the type of leave being applied for (e.g. vacation, sick, maternity), where the leave will be spent, the number of days applied for and inclusive dates. The form is then reviewed and recommendations are provided by the administrative officer and school head before final approval or disapproval by the assistant schools division superintendent.

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Karla Cruzat San Jose-Andonga
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237 views1 page

Form 6 School Teaching and Non Teaching Up To 60 Days

This document is an application for leave form for school teaching and non-teaching personnel requesting up to 60 calendar days of leave. It collects information such as the applicant's office, name, date of filing, position and salary. It also requests details of the application including the type of leave being applied for (e.g. vacation, sick, maternity), where the leave will be spent, the number of days applied for and inclusive dates. The form is then reviewed and recommendations are provided by the administrative officer and school head before final approval or disapproval by the assistant schools division superintendent.

Uploaded by

Karla Cruzat San Jose-Andonga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CS Form 6

Revised 1984

APPLICATION FOR LEAVE


Up to 60 calendar days
(SCHOOL TEACHING and NON-TEACHING PERSONNEL)
1. OFFICE/AGENCY 2. NAME: (Last) (First) (Middle)

3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)

DETAILS OF APPLICATION
6. a) TYPE OF LEAVE 6. b) WHERE LEAVE 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 ______Hospital (Specify) ________
______Others (Specify) _________ ______Out Patient (Specify) ______

6. c) NUMBER OF DAYS 6. d) COMMUTATION


APPLIED FOR ________________ ______Requested ______Not Requested
INCLUSIVE DATES ______________

____________________________________
(Signature of Applicant)
Employee No. _______________________
DETAILS OF ACTION ON APPLICATION
7. a) CERTIFICATION OF LEAVE CREDITS 7. b) RECOMMENDATION
AS OF ________________________________ ______Approval
______Disapproval due to ________
Vacation: Sick: Total: ________________________
________ ________ ________

CRISELA P. TOLENTINO-ABIÑO ___________________


Administrative Officer IV School Head

7. c) APPROVED FOR: 7. d) DISAPPROVED DUE TO:________


________ days with pay ______________________________
________ days without pay ______________________________
________ others (Specify)

CYNTHIA ELEONOR G. MANALO


Assistant Schools Division Superintendent

1. Application for vacation or sick leave for one full day or more shall be made on the Form and to be accomplished in duplicate.
2. Application for vacation leave shall be filed in advance or whenever possible five (5) days before going on such leave.

3. Application for sick leave filed in advance or exceeding five (5) days shall be accompanied by a medical certificate. In case medical consultations were not availed
of, an affidavit should be executed by the applicant.

4. An employee who is absent without approved leave shall not be entitled to receive his salary corresponding the period of his unauthorized leave of absence.

5. An application for leave of absence for thirty (30) calendar days or more shall be accompanied by a clearance from money

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