0% found this document useful (0 votes)
85 views

Application For Leave: Occ-Rtc Angeles City Olingay Jefran Perillo

Jefran P. Olingay, a Social Welfare Officer II at the OCC-RTC Angeles City, is applying for two days of sick leave from July 29-30, 2021. He states the reason for sick leave is for mild colds/flu and will be spent as an out-patient. The application is pending approval from the Employees' Leave Division who will certify his leave credits and make a recommendation.

Uploaded by

Jefran Olingay
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
85 views

Application For Leave: Occ-Rtc Angeles City Olingay Jefran Perillo

Jefran P. Olingay, a Social Welfare Officer II at the OCC-RTC Angeles City, is applying for two days of sick leave from July 29-30, 2021. He states the reason for sick leave is for mild colds/flu and will be spent as an out-patient. The application is pending approval from the Employees' Leave Division who will certify his leave credits and make a recommendation.

Uploaded by

Jefran Olingay
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

CSC FORM No.

6
Revised 1984
APPLICATION FOR LEAVE

1. OFFICE AGENCY 2. NAME (Last) (First) (Middle)

OCC-RTC ANGELES CITY OLINGAY JEFRAN PERILLO

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

August 8, 2021 SOCIAL WELFARE OFFICER II

DETAILS OF APPLICATION

6.1 TYPE OF LEAVE 6.2WHERE LEAVE WILL BE SPENT


IN CASE OF VACATION LEAVE
[ ] Vacation [ ] Within the Philippines
[ ]To Seek Employment [ ]Abroad (Specify)_____________
[ ]Others (Specify

[x ]Sick IN CASE OF SICK LEAVE


[ ] Maternity/Paternity [ ] In Hospital (Specify) _____________
[ ] Others (Specify): [x ]Out-Patient: mild colds/flu

6.4 COMMUTATION

6.3 NUMBER OF WORKING DAYS APPLIED FOR [ ] Requested [ ] Not Requested


two days

INCLUSIVE DATE/S JEFRAN P. OLINGAY


July 29 and 30, 2021 (Signature of Applicant)

DETAILS OF ACTION ON APPLICATION

(To be filled-up by the Employees’ Leave Division)

7.1 CERTIFICATION OF LEAVE CREDITS 7.2 RECOMMENDATION


As of: _____________________________

VACATION SICK TOTAL [ ] Approval


[ ] Disapproval due to ______________________
Days Days Days

_______________________________
(PERSONNEL OFFICER) ATTY. MARJORIE B. PANALIGAN
Clerk of Court VI

7.3 APPROVED FOR: 7.4 DISAPPROVED DUE TO:


_____ days with pay ______________________________________
_____ days without pay ______________________________________
_____ Others (specify) ______________________________________

HON. MARIA ANGELICA T. PARAS-QUIAMBAO


Executive Judge, RTC Angeles City

You might also like