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CSC Form 6 Leave Form New

This document is an application for leave form containing sections for the applicant and approving officials. The applicant provides their office, name, date of filing, position, salary and details of the leave request including type of leave, where it will be spent, number of working days, and whether commutation is requested. The approving officials certify the applicant's leave credits, provide a recommendation on approving or disapproving the request, and indicate the final approval or disapproval including number of approved days and reason for disapproval.

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Tuni Kap
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74 views

CSC Form 6 Leave Form New

This document is an application for leave form containing sections for the applicant and approving officials. The applicant provides their office, name, date of filing, position, salary and details of the leave request including type of leave, where it will be spent, number of working days, and whether commutation is requested. The approving officials certify the applicant's leave credits, provide a recommendation on approving or disapproving the request, and indicate the final approval or disapproval including number of approved days and reason for disapproval.

Uploaded by

Tuni Kap
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, 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)

3. Date of Filing 4. Position 5. Salary

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)

Sick 2. In case of Sick Leave


Maternity In hospital (Specify)
Others (Specify)

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


Requested Not Requested
Inclusive Dates

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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